Autism Behavior Therapy
Clinic/Center, Adolescent and Children Mental Health in Lombard, IL. Organization (NPI-2).
NPI number1851083570
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1851083570
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Behavior Therapy
- Organization subpart
- Yes
- Enumeration date
- May 22, 2023
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Abt Lombard (Other Name)
Practice location
44 W Roosevelt RdLombard, IL 60148-4402
Phone 855-528-8476 · Fax 630-687-8737
Mailing address
124 Kraml DrBurr Ridge, IL 60527-0303
Phone 630-631-9623 · Fax 630-290-0522
Authorized official
Shaden Kassar
Director
6306319623
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