Provider Demographics
NPI:1295521813
Name:SHIELDS BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SHIELDS BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLIPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBA, BCBA
Authorized Official - Phone:815-277-7846
Mailing Address - Street 1:1475 FOXCROFT DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1247
Mailing Address - Country:US
Mailing Address - Phone:815-277-7846
Mailing Address - Fax:217-212-0035
Practice Address - Street 1:1475 FOXCROFT DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1247
Practice Address - Country:US
Practice Address - Phone:815-277-7846
Practice Address - Fax:217-212-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty