Provider Demographics
NPI:1275962714
Name:AUTISM, BEHAVIORAL & EDUCATIONAL SERVICES INC
Entity Type:Organization
Organization Name:AUTISM, BEHAVIORAL & EDUCATIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-336-2237
Mailing Address - Street 1:1250 EXECUTIVE PL STE 201
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-3805
Mailing Address - Country:US
Mailing Address - Phone:815-223-2237
Mailing Address - Fax:815-327-3440
Practice Address - Street 1:1250 EXECUTIVE PL STE 201
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-3805
Practice Address - Country:US
Practice Address - Phone:815-223-2237
Practice Address - Fax:815-327-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech