Provider Demographics
NPI:1083056139
Name:REACHABA
Entity Type:Organization
Organization Name:REACHABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:773-609-4076
Mailing Address - Street 1:1225 W MORSE AVE
Mailing Address - Street 2:#410
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5798
Mailing Address - Country:US
Mailing Address - Phone:773-609-4076
Mailing Address - Fax:
Practice Address - Street 1:1225 W MORSE AVE
Practice Address - Street 2:#410
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-5798
Practice Address - Country:US
Practice Address - Phone:773-609-4076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services