Organization Active NPI

Bear Behavior Consulting, LLC

  • Behavior Analyst
  • Jerseyville, IL
National Provider Identifier
1508349036
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEAR BEHAVIOR CONSULTING, LLC
Practice address
214 Hartcourt Ave
Jerseyville, IL 62052-2053
Phone
(618) 946-2068
Fax
(888) 638-4615
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Cook Guercio, BCBANPI 1700045127
Title
Behavior Analyst/Owner
Phone
(618) 946-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

214 Hartcourt Ave
Jerseyville, IL 62052-2053

Mailing address

214 Hartcourt Ave
Jerseyville, IL 62052-2053
Phone (618) 946-2068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1508349036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HARTCOURT AVE",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522053",
            "telephone_number": "618-946-2068",
            "fax_number": "888-638-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HARTCOURT AVE",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522053",
            "telephone_number": "618-946-2068",
            "fax_number": "888-638-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR BEHAVIOR CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "COOK GUERCIO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "618-946-2068",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.