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
Phone: (630) 931-7589
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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