Provider Demographics
NPI:1467933770
Name:OPERANT ARCHITECTS, LLC
Entity Type:Organization
Organization Name:OPERANT ARCHITECTS, LLC
Other - Org Name:FIRST DOMINO PEDIATRIC BEHAVIOR THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:
Authorized Official - Last Name:CATRONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:708-268-1766
Mailing Address - Street 1:2737 W CHANAY ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4071
Mailing Address - Country:US
Mailing Address - Phone:708-268-1766
Mailing Address - Fax:
Practice Address - Street 1:4403 W LAWRENCE AVE STE 200D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2513
Practice Address - Country:US
Practice Address - Phone:773-614-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-16-22588103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty