Bardell, Rae
Bardell, Rae is an sole proprietor health care provider with primary practice located at 1761 Woodgate Dr , Sycamore IL 60178-2770. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bardell, Rae can be contacted via phone (920) 206-4505.Contact Information
Primary practice address
1761 Woodgate Dr
Sycamore IL 60178-2770
Phone: (920) 206-4505
Fax: (815) 827-6202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-18-30939 | |
Behavioral Health & Social Service Providers / School | 1041S0200X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.014536 | Illinois |
Profile Details
NPI number | 1629025044 |
---|---|
LBN Legal business name | Bardell, Rae |
Credentials | BCBA, LCSWM |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 30th, 2006 |
Last updated | Feb 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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