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AVIA N WIDEMAN
NPI 1558227488
Behavior Analyst in Shorewood, IL

Active since January 05, 2026
850 BROOK FOREST AVE, SHOREWOOD, IL 60404(779) 235-4639 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Avia N Wideman NPPES

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

AVIA N WIDEMAN (NPI 1558227488) is an individual behavior analyst provider in Shorewood, Illinois, licensed in Illinois (152.003279) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1558227488
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameAVIA N WIDEMAN
Location Address850 BROOK FOREST AVEShorewood, IL 60404-8513
Mailing Address850 Brook Forest AveShorewood, IL 60404-8513
Phone(779) 235-4639
Sole ProprietorNo
Enumeration DateJanuary 5, 2026
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1558227488 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 · 152.003279
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.
850 BROOK FOREST AVE, Shorewood, IL 60404
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTION PHYSICAL MEDICINE & REHABILITATION, SC
Physical Medicine & Rehabilitation
850 BROOK FOREST AVE, UNIT F
SHOREWOOD, IL 60404
Will County (815) 725-4918
M W HANLEY DC LLC
Chiropractor
850 BROOK FOREST AVE, UNIT O
SHOREWOOD, IL 60404
Will County (815) 436-1988
MICHAEL W HANLEY DC CO
Chiropractor
850 BROOK FOREST AVE, UNIT P
SHOREWOOD, IL 60404
Will County (815) 436-1988
MR. JOHN PAUL HAM PHYSICIAN ASSISTANT
Physician Assistant
850 BROOK FOREST AVE, UNIT F
SHOREWOOD, IL 60404
Will County (815) 725-4918
ACTION THERAPY SERVICES, LTD.
Physical Therapist
850 BROOK FOREST AVE, UNIT I
SHOREWOOD, IL 60404
Will County (815) 725-4919
JOHN D. MIKUZIS DO
Physical Medicine & Rehabilitation
850 BROOK FOREST AVE, UNIT F
SHOREWOOD, IL 60404
Will County (815) 725-4918
GARY W. GOLDEN D.O.
Physical Medicine & Rehabilitation
850 BROOK FOREST AVE, UNIT F
SHOREWOOD, IL 60404
Will County (815) 725-4918
MRS. NICOLE E JOHNSTON M.S., CCC/SLP
Speech-Language Pathologist
850 BROOK FOREST AVE, SUITE M
SHOREWOOD, IL 60404
Will County (815) 773-9000

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 Avia Wideman's NPI number?

The NPI number for Avia Wideman is 1558227488. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Avia Wideman located?

Avia Wideman practices at 850 Brook Forest Ave, Shorewood, IL 60404. The listed phone number is (779) 235-4639.

What is Avia Wideman'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 Avia Wideman was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.