Provider Demographics
NPI:1578320156
Name:JOURNEY BEHAVIORAL CONSULTING LLC
Entity Type:Organization
Organization Name:JOURNEY BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:TERESI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:708-715-4656
Mailing Address - Street 1:7600 SEQUOIA CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4239
Mailing Address - Country:US
Mailing Address - Phone:708-715-4656
Mailing Address - Fax:
Practice Address - Street 1:7600 SEQUOIA CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4239
Practice Address - Country:US
Practice Address - Phone:708-715-4656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty