NPI 1588069306 · live from the CMS NPI Registry
Advanced Psychiatry Of Elgin
Behavior Analyst in Elgin, IL. National Provider Identifier 1588069306, active.
NPI record
| NPI | 1588069306 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2130 Point Blvd, Suite 200, Elgin, IL 60123 |
| Practice phone | 847-783-0307 |
| Enumerated | October 23, 2014 |
| Last updated | October 23, 2014 |
| Authorized official | Aleatha Howen, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 149004898 (IL) |
| Social Worker, Clinical | 1041C0700X | 149016112 (IL) |
| Behavior Analyst primary | 103K00000X | 036111811 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.