Rae Bardell, BCBA, LCSWM
Behavior Analyst · Sycamore, IL
Practice location
920 W Prairie Dr Ste GSycamore, IL 60178-3123
- Phone
- (815) 291-3887
NPI record
- NPI
- 1629025044
- Entity type
- Individual (Type 1)
- Enumeration date
- May 30, 2006
- Last updated
- October 29, 2025
- Certified
- October 29, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
1-18-30939 | — |
| Behavior Analyst | 103K00000X |
152001169 | IL |
| Clinical Social Worker | 1041C0700X |
149.014536 | IL |
| School Social Worker | 1041S0200X |
— | — |
Mailing address
206 S Stanton StShannon, IL 61078-9311
- Phone
- (815) 291-3887
Other practice locations (1)
- 206 S Stanton St, Shannon, IL 61078-9311 · (815) 291-3887
About Rae Bardell
Rae Bardell, BCBA, LCSWM is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 920 W Prairie Dr Ste G, Sycamore, IL 60178-3123. The NPI number 1629025044 was assigned on May 30, 2006 and the record was last updated on October 29, 2025.
Rae Bardell lists 3 licenses in the registry: #1-18-30939 for Behavior Analyst; #152001169 (IL) for Behavior Analyst; #149.014536 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Rae Bardell, BCBA, LCSWM?
The NPI number is 1629025044.
What is the phone number of Rae Bardell?
The phone number listed for the practice location is (815) 291-3887.
Where is Rae Bardell located?
920 W Prairie Dr Ste G, Sycamore, IL 60178-3123.
What is the taxonomy code for Rae Bardell?
The primary taxonomy code is 103K00000X – Behavior Analyst; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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