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SHELLY MARIE WICKLUND BCBA
NPI 1619435294
Behavior Analyst in Geneva, IL

Active since March 03, 2019
1749 S RANDALL RD STE A, GENEVA, IL 60134(630) 931-7589 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, May 10, 2022, Mar 3, 2019 (3 updates tracked since 2019).

About Shelly Marie Wicklund Bcba NPPES

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

SHELLY MARIE WICKLUND BCBA (NPI 1619435294) is an individual behavior analyst provider in Geneva, Illinois, licensed in Illinois (1-25-83079) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1619435294
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSHELLY MARIE WICKLUNDCredential: BCBA
Location Address1749 S RANDALL RD STE AGeneva, IL 60134-4616
Mailing Address1749 S Randall Rd Ste AGeneva, IL 60134-4616 · (815) 469-1500
Phone(630) 931-7589
Sole ProprietorYes
Enumeration DateMarch 3, 2019
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1619435294 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 · 1-25-83079
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.
1749 S RANDALL RD STE A, Geneva, IL 60134
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Other Providers at the Same Location NPPES 4

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

ANDREA VANTINE OT
Occupational Therapist
1749 S RANDALL RD STE A
GENEVA, IL 60134
Kane County (630) 931-7589
KALI RAE MARTIN RBT
Behavior Technician
1749 S RANDALL RD STE A
GENEVA, IL 60134
Kane County (630) 931-7589
LAUREN MARIE PIERCE BCBA
Behavior Analyst
1749 S RANDALL RD STE A
GENEVA, IL 60134
Kane County (815) 469-1500
JENNIFER ERIN CURTIS
Physical Therapist
1749 S RANDALL RD STE A
GENEVA, IL 60134
Kane County (815) 469-1500

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 Shelly Wicklund's NPI number?

The NPI number for Shelly Wicklund is 1619435294. It was assigned to this individual provider in the NPPES registry on March 3, 2019.

Where is Shelly Wicklund located?

Shelly Wicklund practices at 1749 S Randall Rd Ste A, Geneva, IL 60134. The listed phone number is (630) 931-7589.

What is Shelly Wicklund'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 Shelly Wicklund was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.