1922267418 NPI number — AUTISM AND BEHAVIOR CONSULTANTS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922267418 NPI number — AUTISM AND BEHAVIOR CONSULTANTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUTISM AND BEHAVIOR CONSULTANTS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922267418
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1789 CHURCHILL LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE HEIGHTS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60139-1301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-774-0262
Provider Business Mailing Address Fax Number:
630-672-7434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1789 CHURCHILL LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE HEIGHTS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60139-1301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-774-0262
Provider Business Practice Location Address Fax Number:
630-672-7434
Provider Enumeration Date:
06/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BRENNAN
Authorized Official First Name:
MAREDITH
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
630-774-0262

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com