Active NPI
Maggie Jean Wickman, M.ED, BCBA
- Behavior Analyst
- Barrington, IL
National Provider Identifier
1679272991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64245
- Practice address
- 141 Sturtz St
Barrington, IL 60010-4431 - Phone
- (847) 363-8153
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-64245 | Primary |
Addresses
Primary practice location
141 Sturtz St
Barrington, IL 60010-4431
Mailing address
141 Sturtz St
Barrington, IL 60010-4431
Phone (847) 363-8153
Other practice location 1
44 W Roosevelt Rd
Lombard, IL 60148-4402
Phone (855) 528-8476
Other practice location 2
3737 E Turney Ave Unit 110
Phoenix, AZ 85018-4041
Phone (480) 600-2377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tempe Behavioral Health LLC | Behavior Analyst | Past | Accepting new patients |
| Autism Behavior Therapy | Behavior Analyst | Past | Accepting new patients |
| Autism Behavior Therapy | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Oak Lawn, IL
- NPI 1144906223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1679272991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 STURTZ ST",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104431",
"telephone_number": "847-363-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 STURTZ ST",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600104431",
"telephone_number": "847-363-8153"
}
],
"practiceLocations": [
{
"address_1": "44 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601484402",
"country_code": "US",
"telephone_number": "855-528-8476",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3737 E Turney Ave Unit 110",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850184041",
"country_code": "US",
"telephone_number": "480-600-2377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WICKMAN",
"first_name": "MAGGIE",
"middle_name": "JEAN",
"credential": "M.ED, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-64245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.