Organization · NPI-2

Functional Skills Group

Behavior Technician · Palos Heights, IL

NPI number1932741733

StatusActive

Last updated in NPPESMar 23, 2025

Details

NPI: 1932741733
Entity type: Organization (NPI-2)
Legal business name: Functional Skills Group
Organization subpart: No
Enumeration date: Oct 13, 2019
Certification date: Mar 23, 2025
Last updated: Mar 23, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
106S00000X	Behavior Technician	–	–	Yes
103K00000X	Behavior Analyst	–	–
172V00000X	Community Health Worker	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251S00000X	Community/Behavioral Health	–	–
252Y00000X	Early Intervention Provider Agency	–	–
253Z00000X	In Home Supportive Care	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
374U00000X	Home Health Aide	–	–

Practice location

7808 W College Dr Ste 1ne
Palos Heights, IL 60463-1097

Phone 773-449-0859 · Fax 708-398-8155

Mailing address

7808 W College Dr Ste 1ne
Palos Heights, IL 60463-1097

Phone 773-449-0859 · Fax 708-398-8155

Authorized official

Tinesha Denise Johnson
Owner
7734490859

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