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

Avia N Wideman

Individual provider Behavior Analyst · NPI 1558227488

Avia N Wideman is a Behavior Analyst in Shorewood, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

850 Brook Forest Ave
Shorewood, IL 60404-8513
Phone: (779) 235-4639
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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 152.003279 (IL)

Record details

NPI number1558227488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address850 Brook Forest Ave, Shorewood, IL 60404-8513

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