NPI 1407500721 · live from the CMS NPI Registry
Holly Nichole Andrzeicik, M.S., BCBA
Behavior Analyst in Mokena, IL. National Provider Identifier 1407500721, active.
NPI record
| NPI | 1407500721 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9500 Bormet Dr, Mokena, IL 60448 |
| Practice phone | 815-469-1500 |
| Mailing address | 9500 Bormet Dr Ste 304, Mokena, IL 60448 |
| Enumerated | February 6, 2022 |
| Last updated | June 18, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 152001007 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.