Healthcare Provider Details

I. General information

NPI: 1285117283
Provider Name (Legal Business Name): STEVE MCCUE BCBA 1-19-36099
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 WESTFIELD DR
ELGIN IL
60124-7836
US

IV. Provider business mailing address

2450 WESTFIELD DR
ELGIN IL
60124-7836
US

V. Phone/Fax

Practice location:
  • Phone: 773-644-8224
  • Fax: 224-241-3132
Mailing address:
  • Phone: 773-644-8224
  • Fax: 224-241-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36099
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: