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NPI Code Detail

MEDICARE: JACEY ANN MCCABE RBT

MEDICARE: JACEY ANN MCCABE RBT
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 AnalystIL

General Provider Information

NPI Number : 1942907670
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACEY ANN MCCABE RBT
Provider Business Mailing Address
First Line : 5220 6TH STREET FRONTAGE RD E STE 1700
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-5771
Country : US
Telephone Number : 217-525-8332
Fax Number : 217-789-1420
Provider Business Practice Location Address
First Line : 5220 6TH STREET FRONTAGE RD E STE 1700
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62703-5771
Country : US
Telephone Number : 217-525-8332
Fax Number : 217-789-1420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/17/2026

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Directions to “ JACEY ANN MCCABE RBT” Practice Location

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