Provider Demographics
NPI:1902117211
Name:DEENEY, EMILY MARGARET (BCBA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARGARET
Last Name:DEENEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 NAPERVILLE RD STE 265
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3486
Mailing Address - Country:US
Mailing Address - Phone:331-457-5533
Mailing Address - Fax:331-457-5532
Practice Address - Street 1:2323 NAPERVILLE RD STE 265
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3486
Practice Address - Country:US
Practice Address - Phone:331-457-5533
Practice Address - Fax:331-457-5532
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2014-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1096974103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst