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NPI Code Detail

MEDICARE: KRISTEN HIME BCBA

MEDICARE:   KRISTEN  HIME  BCBA
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-11-8861OTHERILBEHAVIOR ANALYST CERTIFICATION BOARD, INC.

General Provider Information

NPI Number : 1427292218
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN HIME BCBA
Provider Business Mailing Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number : 312-498-5302
Fax Number :
Provider Business Practice Location Address
First Line : 8609 W BRYN MAWR AVE STE 204
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3524
Country : US
Telephone Number : 773-644-7787
Fax Number : 224-241-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2009
Last Update Date : 06/25/2025

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Directions to “ KRISTEN HIME BCBA” Practice Location

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