SearchIllinois106S00000X

Glen Wicks, RBT

NPI 1235939117 · on the registry since 2025 · sole proprietor

Practice

Address
1319 N Galena Ave
Dixon, IL 61021
Phone
(815) 440-6134
Fax
(855) 790-7045
Organisation at this address
Autism Center Of Sauk Valley, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2025-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois