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

Individual provider Behavior Analyst · NPI 1063975662

Tatiana Nicholls is a Behavior Analyst in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

1585 N Milwaukee Ave Ste 101
Libertyville, IL 60048-1359
Phone: (847) 918-7947
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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 1-24-73162 (IL)
Behavior Analyst Taxonomy 103K00000X · Licence 152000658 (IL)
Behavior Technician Taxonomy 106S00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1063975662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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