Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marshell Siddock, RBT-18-66959

Individual provider Behavior Technician · NPI 1629543897

Marshell Siddock, RBT-18-66959 is a Behavior Technician in Northbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Phone: (847) 306-9843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 18-66959
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-66959 (IL)

Record details

NPI number1629543897
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-18-66959
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESOctober 3, 2018
Mailing address5 Revere Dr Ste 120, Northbrook, IL 60062-8005

Other providers in Northbrook