IndividualActive
Kelsey Fagan
NPI 1013402858 · Behavior Technician · Machesney Park, IL
Kelsey Fagan is a Behavior Technician provider in Machesney Park, IL (NPI 1013402858).
Provider details
- NPI number
- 1013402858
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
4780 Alexandra Ln
Machesney Park, IL 61115-7119
Phone: (815) 601-5588
Street-level locationGet directions
Mailing address
4780 Alexandra Ln
Machesney Park, IL 61115-7119
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2018-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.