Daniel Mikel Childress, BCBA

Behavior Analyst · O Fallon, IL

Individual Active NPI

NPI number 1659918977

Practice location

145 Springfield Ct
O Fallon, IL 62269-2495
Phone
(217) 525-8332

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NPI record

NPI
1659918977
Entity type
Individual (Type 1)
Enumeration date
December 5, 2019
Last updated
December 5, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-19-37116 IL

About Daniel Childress

Daniel Mikel Childress, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 145 Springfield Ct, O Fallon, IL 62269-2495. The NPI number 1659918977 was assigned on December 5, 2019 and the record was last updated on December 5, 2019.

Daniel Childress lists a license in the registry: #1-19-37116 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Mikel Childress, BCBA?

The NPI number is 1659918977.

What is the phone number of Daniel Childress?

The phone number listed for the practice location is (217) 525-8332.

Where is Daniel Childress located?

145 Springfield Ct, O Fallon, IL 62269-2495.

What is the taxonomy code for Daniel Childress?

The primary taxonomy code is 103K00000X – Behavior Analyst.

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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