Provider Demographics
NPI:1437778214
Name:MOTIVATIONS BEHAVIORAL SERVICES, LLC
Entity Type:Organization
Organization Name:MOTIVATIONS BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KLAMERUS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:702-908-2373
Mailing Address - Street 1:1344 W ELMDALE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4978
Mailing Address - Country:US
Mailing Address - Phone:702-908-2373
Mailing Address - Fax:
Practice Address - Street 1:1344 W ELMDALE AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-4978
Practice Address - Country:US
Practice Address - Phone:702-908-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty