Holly Berry Wesley, M.S. ED.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

777 Joyce Rd
Joliet, IL 60436-1876

Phone

(815) 823-8429

Fax

(815) 523-7124

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1629425905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 JOYCE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361876",
            "telephone_number": "815-823-8429",
            "fax_number": "815-523-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 JOYCE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361876",
            "telephone_number": "815-823-8429",
            "fax_number": "815-523-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY WESLEY",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Joliet, IL
• Providers in Joliet, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.