Myra J Bertling in Bolingbrook - Behavior Analyst
Myra J Bertling - NPI 1518096064
Myra J Bertling is a Behavior Analyst in Bolingbrook, Illinois. Myra J Bertling practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Myra J Bertling is 1518096064. The last update date is 2020-05-20.
Myra J Bertling's current location address is 1750 Apple Valley Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6302171292 and fax number 6307594228. The mailing address for Myra J Bertling is 1750 Apple Valley Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra J Bertling |
|---|---|
| Address | 1750 Apple Valley Rd, Bolingbrook, Illinois |
| Phone Number | 6302171292 |
| Fax Number | 6307594228 |
| Sole Proprietor | Y |
| Credentials | BEHAVIOR A |
NPI Number Detail
| NPI Number | 1518096064 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2020-05-20 |
Provider Mailing Address Detail
| Address | 1750 Apple Valley Rd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604906509 |
| Phone Number | 6302171292 |
| Fax Number | 6307594228 |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 1-16-23471 |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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What is the unique provider identifier assigned to Myra J Bertling?
The Myra J Bertling has been issued the NPI (National Provider Identifier) 1518096064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Myra J Bertling is physically located?
The Myra J Bertling is situated at the following address: 1750 Apple Valley Rd, Bolingbrook, IL 604906509.
What is Myra J Bertling's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Myra J Bertling's specialized field of practice is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of specialization is 103K00000X.
On what date was the 1518096064 assigned to Myra J Bertling?
The Myra J Bertling was issued its 1518096064 on 2007-03-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Myra J Bertling last refreshed?
The information related to the Myra J Bertling, including its address, specialty, and other relevant details, was last updated on 2020-05-20.