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

Kelsey Fagan

Individual provider Behavior Technician · NPI 1013402858

Kelsey Fagan is a Behavior Technician in Machesney Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

4780 Alexandra Ln
Machesney Park, IL 61115-7119
Phone: (815) 601-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1013402858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2018
Last updated in NPPESJune 25, 2018

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