Wellformed AI

NPI 1164891750 · live from the CMS NPI Registry

Applied Behavioral Consulting

Behavior Analyst in Western Springs, IL. National Provider Identifier 1164891750, active.

NPI record

NPI1164891750 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location5304 Grand Ave, Western Springs, IL 60558
Practice phone715-497-4416
EnumeratedSeptember 24, 2015
Last updatedJuly 28, 2025
Authorized officialJoseph Mitchell, Owner
Other namesAbc Therapy Clinics

Taxonomies and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst106E00000X—
Behavior Technician106S00000X—
Occupational Therapist225X00000X—
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.