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NPI Code Detail

MEDICARE: EMILY ELIZABETH COOK MS, BCBA

MEDICARE: EMILY ELIZABETH COOK MS, 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
2103K00000XBehavior Analyst152.000945IL
3103K00000XBehavior Analyst1-19-35019

General Provider Information

NPI Number : 1568004802
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH COOK MS, BCBA
Provider Business Mailing Address
First Line : 9500 BORMET DR STE 304
Second Line :
City : MOKENA
State : IL
Zip : 60448-8399
Country : US
Telephone Number : 815-469-1500
Fax Number :
Provider Business Practice Location Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number : 779-218-9258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 02/12/2026

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