Provider Demographics
NPI:1316583529
Name:RAMAKRISHNAN, ARVIND (BCBA)
Entity Type:Individual
Prefix:
First Name:ARVIND
Middle Name:
Last Name:RAMAKRISHNAN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8609 W BRYN MAWR AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3524
Mailing Address - Country:US
Mailing Address - Phone:773-726-1416
Mailing Address - Fax:224-241-3132
Practice Address - Street 1:140 S RIVER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-6077
Practice Address - Country:US
Practice Address - Phone:224-436-0788
Practice Address - Fax:224-241-3132
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-20-40814103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst