RAE BARDELL (BCBA, LCSWM) – Behavior Analyst, NPI 1629025044

RAE BARDELL (BCBA, LCSWM) is a healthcare provider. based in Shannon, Illinois. specializing in Behavior Analyst. They hold the professional credentials BCBA, LCSWM. They hold a License No. 152001169 (IL). The NPI Number for RAE BARDELL (BCBA, LCSWM) is 1629025044

Main info

Female
Sole Proprietor
Name
RAE BARDELL (BCBA, LCSWM)
NPI
1629025044
Phone
(815) 291-3887
Address
206 S Stanton St
Enumeration Date
30 May 2006
Last Update Date
29 October 2025

Contacts

Secure Messaging
rae.bardell@bethesdalc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

Provider Addresses for RAE BARDELL (BCBA, LCSWM)

  • 206 S Stanton St

    Shannon, IL 610789311

    Phone: (815) 291-3887

    Type: Location

  • 1761 WOODGATE DR

    SYCAMORE, IL 601782770

    Phone: (920) 206-4505

    Fax: (815) 827-6202

    Type: Location

  • 920 W PRAIRIE DR STE G

    SYCAMORE, IL 601783123

    Phone: (815) 291-3887

    Type: Location

  • 206, South Stanton Street, Shannon, Carroll County, Illinois, 61078, United States

    SHANNON, IL 610789311

    Phone: (815) 291-3887

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 61078)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RAE BARDELL (BCBA, LCSWM)?
RAE BARDELL (BCBA, LCSWM) — NPI 1629025044 — is the standard way to identify this listing.
Does the file indicate RAE BARDELL (BCBA, LCSWM) is practicing under active NPI?
Directory data currently reports RAE BARDELL (BCBA, LCSWM) as active.
What is RAE BARDELL (BCBA, LCSWM)'s primary classification?
Behavior Analyst is the headline specialty for RAE BARDELL (BCBA, LCSWM) here. Clinical services aligned with this taxonomy classification.
What address line appears for RAE BARDELL (BCBA, LCSWM)?
RAE BARDELL (BCBA, LCSWM)'s geographic hint is Shannon, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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