Healthcare Provider Details

I. General information

NPI: 1235838426
Provider Name (Legal Business Name): TAMARA SULEJMANI BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMMI SULEJMANI

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 WESTFIELD DR
ELGIN IL
60124-7836
US

IV. Provider business mailing address

8609 W BRYN MAWR AVE STE 204
CHICAGO IL
60631-3524
US

V. Phone/Fax

Practice location:
  • Phone: 773-896-3754
  • Fax:
Mailing address:
  • Phone: 773-644-7787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: