Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHANTAJAH TANEK MYERS
Active Sole ProprietorPHANTAJAH TANEK MYERS is a Behavior Analyst healthcare provider located in LAKE BLUFF, Illinois. NPI 1164385910 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LAKE BLUFF, IL
Registration Details
- NPI Number
- 1164385910
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2025 (0.66646336111821 yrs)
- Last Updated
- Dec 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
917 SHERWOOD DR STE 201LAKE BLUFF, IL, 600442235Browse IL providers · Browse ZIP 60044
- Phone
- 1877486414
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in LAKE BLUFF, IL
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE KAE VOLKOV | BCBA | 1184180473 |
| KELSEY WELZEN | — | 1285190983 |
| NEDA ESFAHANI | — | 1013560465 |
| JACK KELLY | BCBA | 1396383030 |
| DERRICK L VICTORIAN | M.A. | 1508471830 |
| KAYLEEN MARIE FLORES | MS, BCBA | 1740869643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.