Andrea Hullum

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

67 E 34TH St
Steger, IL 60475-1106

Phone

(708) 754-8815

NPI assigned

Dec 23, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2010.

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1891099412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17746 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773936",
            "telephone_number": "708-444-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E 34TH ST",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604751106",
            "telephone_number": "708-754-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLUM",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Prairie Services
• Grand Prairie Services
• Leslie Engstrand Guca, M.A., M.H.S
• Tamela Harris Ali
• Connie Hughley
• Sharica D Humphrey
• International Pentecostal Assy. Ecum. (Ipae)
• JD Wicked Solutions, PLLC
• Betsave Jimenez
• John C Grabow DDS LTD

• All providers in Steger, IL
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.