Provider Demographics
NPI:1518119866
Name:SACHS, AMY M (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:SACHS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HIDDEN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2852
Mailing Address - Country:US
Mailing Address - Phone:630-921-1063
Mailing Address - Fax:
Practice Address - Street 1:925 HIDDEN LAKE RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-2852
Practice Address - Country:US
Practice Address - Phone:630-921-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-13-14864103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst