Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619435294 Individual Practitioner Female Practitioner

Shelly Marie Wicklund , BCBA

Behavior Analyst • Geneva, IL

Professional Overview & Biography Verified Profile Summary

Shelly Wicklund, BCBA is a registered healthcare professional specializing in Behavior Analyst in Geneva, IL. Practice services are available at 1749 S RANDALL RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1749 S Randall Rd Ste A

Geneva, IL 601344616

Telephone 6309317589

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Geneva, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Geneva, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-25-83079

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Andrea Vantine , OT

Occupational Therapist

NPI 1669503181

Occupational Therapist

Kali Martin , RBT

Behavior Technician

NPI 1750116778

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 08, 2025

Registered at 1749 S RANDALL RD STE A, GENEVA, IL 601344616 (Tel: 6309317589)

📍
Updated Business Mailing Address August 08, 2025

Registered at 1749 S RANDALL RD STE A, GENEVA, IL 601344616 (Tel: 8154691500)

👤
Provider Name / Credentials Updated August 08, 2025

Recorded as SHELLY WICKLUND, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2025

Behavior Analyst (License #1-25-83079 in IL)

📍
Updated Practice Location May 10, 2022

Registered at 738 ARMY TRAIL RD, CAROL STREAM, IL 60188 (Tel: 6304738648)

📍
Updated Business Mailing Address May 10, 2022

Registered at 738 ARMY TRAIL RD., CAROL STREAM, IL 60188 (Tel: 6304738648)

NPI Profile Active March 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2019

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005 (Tel: 8473069843)

📍
Updated Business Mailing Address March 03, 2019

Registered at 5 REVERE DR STE 120, NORTHBROOK, IL 600628005

👤
Provider Name / Credentials Updated March 03, 2019

Recorded as SHELLY WICKLUND, RBT-18-56792

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2019

Behavior Technician (License #RBT-18-56792 in IL)

🟢
Initial NPI Registration & Enumeration March 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619435294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2019
Last Update: August 08, 2025
Sole Proprietor: Yes

Mailing Address

1749 S Randall Rd Ste A

Geneva, IL 601344616

Phone: 8154691500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.