Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN MEDEMA
Active Sole ProprietorKEVIN MEDEMA is a Behavior Analyst healthcare provider located in ITASCA, Illinois. NPI 1730950213 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · ITASCA, IL
Registration Details
- NPI Number
- 1730950213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2024 (2.5756840591459 yrs)
- Last Updated
- Jan 12, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
975 W HAWTHORN DRITASCA, IL, 601432056Browse IL providers · Browse ZIP 60143
- Phone
- 8008441232
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in ITASCA, IL
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE L BATES | M.A., BCBA | 1548491194 |
| MEGAN BARR | — | 1356744742 |
| CAITLIN TACADENA | BCBA | 1669842944 |
| JESSICA CAMP | — | 1124491378 |
| ALISON HANLEY | M.A., BCBA | 1437695194 |
| GRACE SHERMER | CTRS, BCBA | 1336623511 |
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.