Provider Demographics
NPI:1467633966
Name:CIRCLES BEHAVIOR CONSULTATION SERVICES INC
Entity Type:Organization
Organization Name:CIRCLES BEHAVIOR CONSULTATION SERVICES INC
Other - Org Name:CIRCLES BCS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:309-662-5050
Mailing Address - Street 1:2203 E EMPIRE ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-3706
Mailing Address - Country:US
Mailing Address - Phone:309-662-5050
Mailing Address - Fax:630-303-9704
Practice Address - Street 1:2203 E EMPIRE
Practice Address - Street 2:SUITE G
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-3706
Practice Address - Country:US
Practice Address - Phone:309-662-5050
Practice Address - Fax:630-303-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1073716251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health