Healthcare Provider Details

I. General information

NPI: 1063975662
Provider Name (Legal Business Name): TATIANA NICHOLLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TATIANA ROGERS

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 N MILWAUKEE AVE STE 101
LIBERTYVILLE IL
60048-1359
US

IV. Provider business mailing address

1585 N MILWAUKEE AVE STE 101
LIBERTYVILLE IL
60048-1359
US

V. Phone/Fax

Practice location:
  • Phone: 847-918-7947
  • Fax:
Mailing address:
  • Phone: 847-918-7947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number152000658
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73162
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: