Wicklund, Shelly Marie

Wicklund, Shelly Marie is an sole proprietor health care provider with primary practice located at 1749 S Randall Rd Ste A , Geneva IL 60134-4616. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wicklund, Shelly Marie can be contacted via phone (630) 931-7589.

Contact Information

Primary practice address
1749 S Randall Rd Ste A Geneva IL 60134-4616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-25-83079 Illinois

Profile Details

NPI number 1619435294
LBN Legal business name Wicklund, Shelly Marie
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2019
Last updated Aug 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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