Provider Demographics
NPI:1861626020
Name:RHODES, STEVEN NEIL (BCBA)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:NEIL
Last Name:RHODES
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 S PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2884
Mailing Address - Country:US
Mailing Address - Phone:312-218-8479
Mailing Address - Fax:
Practice Address - Street 1:1420 S PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2884
Practice Address - Country:US
Practice Address - Phone:312-218-8479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-03
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst