Ryan McMicking
Behavior Technician in Northbrook, IL. Individual provider (NPI-1).
NPI number1003544784
StatusActive
Last updated in NPPESAug 10, 2022
Details
- NPI
- 1003544784
- Entity type
- Individual (NPI-1)
- Name
- Ryan McMicking
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2022
- Certification date
- Aug 10, 2022
- Last updated
- Aug 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-226946 | IL | Yes |
Practice location
85 Revere Dr Ste AaNorthbrook, IL 60062-8001
Phone 844-247-7222 · Fax 215-489-8766
Mailing address
Po Box 639561Cincinnati, OH 45263-9561
Phone 844-247-7222 · Fax 215-489-8766
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 662 Behavior Technician providers in Northbrook · All 2,895 providers in Northbrook
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