NPI 1770818841 · live from the CMS NPI Registry
Autism Home Support Services, INC
Behavior Analyst in Northbrook, IL. National Provider Identifier 1770818841, active.
NPI record
| NPI | 1770818841 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 85 Revere Dr Ste Aa, Northbrook, IL 60062 |
| Practice phone | 844-247-7222 |
| Mailing address | Po Box 639561, Cincinnati, OH 45263 |
| Enumerated | October 7, 2009 |
| Last updated | September 8, 2022 |
| Authorized official | Julie Bush, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.