Caitlin Lee Hickman
Behavior Analyst in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1366090490
StatusActive
Last updated in NPPESSep 2, 2019
Details
- NPI
- 1366090490
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Lee Hickman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2019
- Last updated
- Sep 2, 2019
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | IL | Yes |
Practice location
420 Brandy Dr Unit ACrystal Lake, IL 60014-7430
Phone 847-857-0871
Mailing address
420 Brandy Dr Unit ACrystal Lake, IL 60014-7430
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 36 Behavior Analyst providers in Crystal Lake · All 1,922 providers in Crystal Lake
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