NPI 1982316006 · live from the CMS NPI Registry
Acadia Pediatric Therapy
Behavior Analyst in Grayslake, IL. National Provider Identifier 1982316006, active.
NPI record
| NPI | 1982316006 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1015 N Corporate Cir Ste A, Grayslake, IL 60030 |
| Practice phone | 224-716-5033 |
| Mailing address | 36880 N Deer Trail Dr, Lake Villa, IL 60046 |
| Enumerated | December 20, 2022 |
| Last updated | May 9, 2023 |
| Authorized official | Deana Jaros, Bcba |
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.