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

Individual provider Behavior Analyst · NPI 1619435294

Shelly Marie Wicklund, BCBA is a Behavior Analyst in Geneva, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1749 S Randall Rd Ste A
Geneva, IL 60134-4616
Phone: (630) 931-7589
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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 1-25-83079 (IL)

Record details

NPI number1619435294
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedMarch 3, 2019
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

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