SHAWNEE BEHAVIORAL CONSULTATION LLC
NPI 1356611024
Behavior Analyst in Edwardsville, IL

Q: What is Shawnee Behavioral Consultation LLC's NPI number?

The NPI number for Shawnee Behavioral Consultation LLC is 1356611024. It was assigned to this organization in the NPPES registry on January 11, 2012.

Q: What is Shawnee Behavioral Consultation LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since January 11, 2012

224 BELDEN DR, EDWARDSVILLE, IL 62025(618) 977-2773(312) 626-2429 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawnee Behavioral Consultation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNEE BEHAVIORAL CONSULTATION LLC (NPI 1356611024) is a healthcare organization registered as a behavior analyst in Edwardsville, Illinois and active in the NPI registry since January 2012. The organization lists Christina Ann Ruzicka, Board Certified Behavior Analyst, as its authorized official.

NPPES Registry Identity

NPI1356611024

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameSHAWNEE BEHAVIORAL CONSULTATION LLC

Location Address224 BELDEN DREdwardsville, IL 62025-3178

Mailing Address7384 Sharp AveSaint Louis, MO 63116-3040 · (618) 977-2773 · Fax (312) 626-2429

Phone(618) 977-2773

Fax(312) 626-2429

Organization SubpartNo

Authorized OfficialChristina Ann RuzickaBoard Certified Behavior Analyst · (618) 977-2773

Enumeration DateJanuary 11, 2012

✔ NPI 1356611024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in IL · 1084838

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 required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

224 BELDEN DR, Edwardsville, IL 62025

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnee Behavioral Consultation LLC's NPI number?

The NPI number for Shawnee Behavioral Consultation LLC is 1356611024. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is Shawnee Behavioral Consultation LLC located?

Shawnee Behavioral Consultation LLC is located at 224 Belden Dr, Edwardsville, IL 62025. The listed phone number is (618) 977-2773.

What is Shawnee Behavioral Consultation LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shawnee Behavioral Consultation LLC was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.