Individual ProviderMegan C GildersleeveBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734(219) 921-5747PECOS EnrollmentBased on the most recent information from CMS, provider Megan C Gildersleeve does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1487266805Provider TypeIndividualFull NameGildersleeve, Megan CCredentialBCBAGenderFemaleSole ProprietorNoEnumeration Date8/18/2020Last Updated2/24/2022Contact InformationPractice LocationPractice Address1136 S Delano Ct W Ste B201, Chicago, IL 60605-3734Phone(219) 921-5747FaxUnlisted FaxMailing LocationMailing Address5451 Buckeye Ave, Portage, IN 46368-4205Phone(219) 921-5747FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-22-58165Code106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-16-20966Indiana