NPI 1891088290 · live from the CMS NPI Registry
Aba Midwest Education Ltd
Behavior Analyst in Chicago, IL. National Provider Identifier 1891088290, active.
NPI record
| NPI | 1891088290 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1136 S Delano Ct W B201, Chicago, IL 60605 |
| Practice phone | 312-375-1000 |
| Enumerated | May 18, 2011 |
| Last updated | September 18, 2019 |
| Authorized official | Janice Pellecchia, Board Certified Behavior Analyst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-118506 (IL) |
| Psychologist, Clinical | 103TC0700X | 071-004663 (IL) |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 1-031395 (IL) |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 071-004663 (IL) |
| Behavior Analyst primary | 103K00000X | 1-031395 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.