Colleen Marie McChristie, B.C.B.A.
Individual provider Active NPI Behavior Analyst · Rockton, IL
NPI 1780907915 · NPPES record last updated Mar 2, 2010
Key facts
- NPI
- 1780907915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 122 Eaglewood PL
Rockton, IL 61072-3104 - Phone
- (815) 624-2783
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Services, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
122 Eaglewood PL
Rockton, IL 61072-3104
Mailing address
122 Eaglewood PL
Rockton, IL 61072-3104
Phone (815) 624-2783
Other providers in Rockton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.