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Search › Illinois › 103K00000X

Maddox Niebauer, M.S., BCBA

NPI 1740860915 · on the registry since 2021 · sole proprietor

Practice

Address
1860 W Winchester Rd Ste 108
Libertyville, IL 60048
Phone
(847) 573-9486
Fax
(847) 549-6139
Organisation at this address
Rci (Wrs), Llc
Rci (Wrs), Llc.
Joyce Muni, M.D.
Kids Therapy, Ltd.
Kim M Carnazzola Md Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-05

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