Provider Demographics
NPI:1548011307
Name:HAROON, MADIHA (BEHAVIOR ANALYST)
Entity type:Individual
Prefix:
First Name:MADIHA
Middle Name:
Last Name:HAROON
Suffix:
Gender:
Credentials:BEHAVIOR ANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17801 W BRAEWICK RD
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4597
Mailing Address - Country:US
Mailing Address - Phone:224-284-6875
Mailing Address - Fax:
Practice Address - Street 1:565 LAKEVIEW PKWY STE 110
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1839
Practice Address - Country:US
Practice Address - Phone:872-264-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106S00000X
IL152.001262103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician