SHELLY MARIE WICKLUND (BCBA) – Behavior Analyst, NPI 1619435294

SHELLY MARIE WICKLUND (BCBA) is a healthcare provider. based in Northbrook, Illinois. specializing in Behavior Analyst. They hold the professional credentials BCBA. They hold a License No. 1-25-83079 (IL). The NPI Number for SHELLY MARIE WICKLUND (BCBA) is 1619435294

Main info

Female
Sole Proprietor
Name
SHELLY MARIE WICKLUND (BCBA)
NPI
1619435294
Phone
Not provided
Address
5 REVERE DR STE 120
Enumeration Date
3 March 2019
Last Update Date
8 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for SHELLY MARIE WICKLUND (BCBA)

  • 120, Revere Drive, Woodridge, Highland Park, Northbrook, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600628005

    Phone:

    Type: Mailing

  • 1749 S RANDALL RD STE A

    GENEVA, IL 601344616

    Phone: (815) 469-1500

    Type: Mailing

  • 738 ARMY TRAIL RD.

    CAROL STREAM, IL 60188

    Phone: (630) 473-8648

    Type: Mailing

  • 738 ARMY TRAIL RD

    CAROL STREAM, IL 60188

    Phone: (630) 473-8648

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60062)

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Reviews

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Frequently asked questions

Can I use this page to confirm SHELLY MARIE WICKLUND (BCBA)'s NPI?
Yes. SHELLY MARIE WICKLUND (BCBA) is listed with NPI 1619435294 in the public NPI dataset.
Can I rely on SHELLY MARIE WICKLUND (BCBA) being an active provider?
As of the registry snapshot, SHELLY MARIE WICKLUND (BCBA) is marked active.
What is SHELLY MARIE WICKLUND (BCBA)'s specialty?
The listing groups SHELLY MARIE WICKLUND (BCBA) with Behavior Analyst. Clinical services aligned with this taxonomy classification.
What address line appears for SHELLY MARIE WICKLUND (BCBA)?
SHELLY MARIE WICKLUND (BCBA)'s geographic hint is Northbrook, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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