NPI 1033730791 · live from the CMS NPI Registry
Autism Support Chicago LLC
Behavior Analyst in Joliet, IL. National Provider Identifier 1033730791, active.
NPI record
| NPI | 1033730791 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 401 Burke Dr, Joliet, IL 60433 |
| Practice phone | 815-630-6408 |
| Mailing address | 3003 Gari Baldi Way, Spring Hill, TN 37174 |
| Enumerated | May 4, 2020 |
| Last updated | May 6, 2020 |
| Authorized official | Leslie Luckey, Credentialing/Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.