Provider Demographics
NPI:1356688923
Name:BEHAVIOR AND LEARNING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BEHAVIOR AND LEARNING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:219-472-0628
Mailing Address - Street 1:8762 LOUISIANA ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7191
Mailing Address - Country:US
Mailing Address - Phone:219-472-0628
Mailing Address - Fax:
Practice Address - Street 1:8762 LOUISIANA ST
Practice Address - Street 2:SUITE J
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7191
Practice Address - Country:US
Practice Address - Phone:219-472-0628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0082557103K00000X
IL1073892103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1831348028OtherNPI
IN1013236645OtherNPI