Stephane Ann Puryear, BCBA

Behavior Analyst · Glen Ellyn, IL

Individual Active NPI

NPI number 1699329888

Practice location

910 Roosevelt Rd
Glen Ellyn, IL 60137-7829
Phone
(630) 580-0853

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NPI record

NPI
1699329888
Entity type
Individual (Type 1)
Enumeration date
July 26, 2019
Last updated
September 5, 2024
Certified
September 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — IL
Behavior Technician 106S00000X RBT-19-90827 TX

About Stephane Puryear

Stephane Ann Puryear, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 910 Roosevelt Rd, Glen Ellyn, IL 60137-7829. The NPI number 1699329888 was assigned on July 26, 2019 and the record was last updated on September 5, 2024.

Stephane Puryear lists a license in the registry: #RBT-19-90827 (TX) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephane Ann Puryear, BCBA?

The NPI number is 1699329888.

What is the phone number of Stephane Puryear?

The phone number listed for the practice location is (630) 580-0853.

Where is Stephane Puryear located?

910 Roosevelt Rd, Glen Ellyn, IL 60137-7829.

What is the taxonomy code for Stephane Puryear?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 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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