Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANEA L RICKETTS, M.A., BCBA, LBA
Active Sole ProprietorTANEA L RICKETTS, M.A., BCBA, LBA is a Behavior Analyst healthcare provider located in VANDALIA, Illinois. NPI 1245708122 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · VANDALIA, IL
Registration Details
- NPI Number
- 1245708122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2018 (7.7225986795505 yrs)
- Last Updated
- Mar 18, 2022
- Licenses
-
2017005989 (MO)1-21-56513
- Sole Proprietor
- Yes
Practice Information
- Address
-
1616 VETERANS AVEVANDALIA, IL, 624713317Browse IL providers · Browse ZIP 62471
- Phone
- 6183391063
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in VANDALIA, IL
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH LOHMAN | MA, BCBA, LBA | 1457914665 |
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.