NPI 1437817657 · live from the CMS NPI Registry
Amango Autism Correlation Functional Behavior Intervention INC
Psychologist in Palatine, IL. National Provider Identifier 1437817657, active.
NPI record
| NPI | 1437817657 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2291 N Enlund Dr Unit 8, Palatine, IL 60074 |
| Practice phone | 630-670-7473 |
| Mailing address | 1129 Homestead Rd Apt 2a, La Grange Park, IL 60526 |
| Enumerated | December 5, 2021 |
| Last updated | January 2, 2022 |
| Authorized official | Gladys Gyabaah, Ceo & Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Clinical Neuropsychologist | 103G00000X | — |
| Behavior Analyst | 103K00000X | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Psychologist, Forensic | 103TF0200X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | — |
| Case Management | 251B00000X | — |
| Home Health | 251E00000X | — |
| Nursing Care | 251J00000X | — |
| Public Health or Welfare | 251K00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.