Aba Midwest Education Ltd
Behavior Analyst in Chicago, IL. Organization (NPI-2).
NPI number1891088290
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1891088290
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Midwest Education Ltd
- Organization subpart
- No
- Enumeration date
- May 18, 2011
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-031395 | IL | Yes |
| 103K00000X | Behavior Analyst | 1-118506 | IL | |
| 103TC0700X | Psychologist, Clinical | 071-004663 | IL | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 1-031395 | IL | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 071-004663 | IL |
Practice location
1136 S Delano Ct W B201Chicago, IL 60605-3734
Phone 312-375-1000 · Fax 773-326-0725
Mailing address
1136 S Delano Ct W B201Chicago, IL 60605-3734
Phone 312-375-1000 · Fax 773-326-0725
Authorized official
Janice Marie Pellecchia
Board Certified Behavior Analyst
3123751000
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