Provider Demographics
NPI:1144404575
Name:WOODS, ALETA MARCEL (M ED,, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALETA
Middle Name:MARCEL
Last Name:WOODS
Suffix:
Gender:F
Credentials:M ED,, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12645 SKYE DR
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-8966
Mailing Address - Country:US
Mailing Address - Phone:864-303-4668
Mailing Address - Fax:
Practice Address - Street 1:12645 SKYE DR
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-8966
Practice Address - Country:US
Practice Address - Phone:864-303-4668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1-07-3415OtherBCBA CERTIFICATION NUMBER