Organization · Type 2 NPI

Blue Bolt Pediatric Care

Behavior Analyst · Evanston, IL

NPI number 1093551350 Active

Practice location

800 Elgin Rd Apt 1218
Evanston, IL 60201-5628

Mailing address

1555 Sherman Ave # 324
Evanston, IL 60201-4421

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Behavior Analyst: 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…

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About NPI 1093551350

Blue Bolt Pediatric Care's National Provider Identifier is 1093551350, issued on Jul 6, 2024. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Evanston, IL. The record was last updated on Apr 4, 2025.