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 2 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