MEDICARE: BEHAVIOR STRATEGIES GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1275450108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIOR STRATEGIES GROUP LLC

Provider Business Mailing Address
First Line	:	3219 RAND LN
Second Line	:
City	:	SWANSEA
State	:	IL
Zip	:	62226-2427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3219 RAND LN
Second Line	:
City	:	SWANSEA
State	:	IL
Zip	:	62226-2427
Country	:	US
Telephone Number	:	618-316-4378
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL RUCKER
Credential	:	BCBA
Telephone Number	:	618-316-4378

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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