Provider Demographics
NPI:1790914976
Name:CROOKS, JAYME LYNN (MA, BCBA)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:LYNN
Last Name:CROOKS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 LAKE COOK RD APT 155
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5296
Mailing Address - Country:US
Mailing Address - Phone:773-502-3361
Mailing Address - Fax:
Practice Address - Street 1:1525 LAKE COOK RD APT 155
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5296
Practice Address - Country:US
Practice Address - Phone:773-502-3361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1107278103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst