Provider Demographics
NPI:1518361625
Name:SHEEHAN, ALLIE KATHERINE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ALLIE
Middle Name:KATHERINE
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:KATHERINE
Other - Last Name:BRAGDON
Other - Suffix:
Other - Last Name Type:Former Name
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:
Practice Address - Street 1:2323 NAPERVILLE RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:331-457-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst