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CULTIVATE BEHAVIORAL HEALTH AND EDUCATION- ILLINOIS
NPI 1467058404
Behavior Analyst in Worth, IL

Active since December 06, 2020
11055 S NAGLE AVE APT 5, WORTH, IL 60482(224) 703-0502 Get Directions Write a Review

NPPES record last updated: December 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cultivate Behavioral Health And Education- Illinois NPPES

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

CULTIVATE BEHAVIORAL HEALTH AND EDUCATION- ILLINOIS (NPI 1467058404) is a healthcare organization registered as a behavior analyst in Worth, Illinois and active in the NPI registry since December 2020. The organization lists Ozzie Holmgren, Regional Vice President, as its authorized official.

NPPES Registry Identity

NPI1467058404
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameCULTIVATE BEHAVIORAL HEALTH AND EDUCATION- ILLINOIS
Location Address11055 S NAGLE AVE APT 5Worth, IL 60482-1655
Mailing Address11055 S Nagle Ave Apt 5Worth, IL 60482-1655 · (224) 703-0502
Phone(224) 703-0502
Organization SubpartNo
Authorized OfficialOzzie HolmgrenRegional Vice President · (631) 804-4268
Enumeration DateDecember 6, 2020
NPPES CertifiedDecember 6, 2020
✔ NPI 1467058404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
11055 S NAGLE AVE APT 5, Worth, IL 60482
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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 MULTIPLE 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 Cultivate Behavioral Health And Education- Illinois's NPI number?

The NPI number for Cultivate Behavioral Health And Education- Illinois is 1467058404. It was assigned to this organization in the NPPES registry on December 6, 2020.

Where is Cultivate Behavioral Health And Education- Illinois located?

Cultivate Behavioral Health And Education- Illinois is located at 11055 S Nagle Ave Apt 5, Worth, IL 60482. The listed phone number is (224) 703-0502.

What is Cultivate Behavioral Health And Education- Illinois'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 Cultivate Behavioral Health And Education- Illinois was last updated on December 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.