NPI 1780944355 · live from the CMS NPI Registry
Aba Consultation & In-Home Therapy, LLC
Behavior Analyst in Carbondale, IL. National Provider Identifier 1780944355, active.
NPI record
| NPI | 1780944355 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 706 E Campus Dr, Carbondale, IL 62901 |
| Practice phone | 715-703-0573 |
| Enumerated | May 16, 2012 |
| Last updated | May 16, 2012 |
| Authorized official | Autumn Mckeel, Owner/President |
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.