Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawnee Behavioral Consultation LLC

Organization Behavior Analyst · NPI 1356611024

Shawnee Behavioral Consultation LLC is a Behavior Analyst in Edwardsville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

224 Belden Dr
Edwardsville, IL 62025-3178
Phone: (618) 977-2773
Fax: (312) 626-2429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1084838 (IL)

Record details

NPI number1356611024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Ruzicka — Board Certified Behavior Analyst · (618) 977-2773
NPI enumeratedJanuary 11, 2012
Last updated in NPPESJanuary 11, 2012
Mailing address7384 Sharp Ave, Saint Louis, MO 63116-3040

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