NPI 1720884331 · live from the CMS NPI Registry
Aba Revolution LLC
Behavior Analyst in Northbrook, IL. National Provider Identifier 1720884331, active.
NPI record
| NPI | 1720884331 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1326 Edgewood Ln, Northbrook, IL 60062 |
| Practice phone | 224-241-1784 |
| Enumerated | February 24, 2025 |
| Last updated | February 24, 2025 |
| Authorized official | Daniel Blank, Ceo |
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.