Provider Demographics
NPI:1174014815
Name:SMART BEHAVIOR SOLUTIONS
Entity Type:Organization
Organization Name:SMART BEHAVIOR SOLUTIONS
Other - Org Name:SERRANO COUNSELING AND BEHAVIOR SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-415-5507
Mailing Address - Street 1:212 S MARION ST STE 20
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3159
Mailing Address - Country:US
Mailing Address - Phone:312-415-5507
Mailing Address - Fax:
Practice Address - Street 1:212 S MARION ST STE 20
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3159
Practice Address - Country:US
Practice Address - Phone:312-415-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No252Y00000XAgenciesEarly Intervention Provider Agency