Healthcare Provider Details

I. General information

NPI: 1730686023
Provider Name (Legal Business Name): ESTHER JOHN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9115 CRAWFORD AVE
SKOKIE IL
60076-1707
US

IV. Provider business mailing address

9115 CRAWFORD AVE
SKOKIE IL
60076-1707
US

V. Phone/Fax

Practice location:
  • Phone: 847-863-3980
  • Fax:
Mailing address:
  • Phone: 847-863-3980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number18-53213
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: