Provider Demographics
NPI:1669634887
Name:APPLIED BEHAVIOR ANALYSTS OF CHICAGO, INC.
Entity Type:Organization
Organization Name:APPLIED BEHAVIOR ANALYSTS OF CHICAGO, INC.
Other - Org Name:HARMONY AUTISM THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:855-690-2192
Mailing Address - Street 1:2104 DAYBREAK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-6409
Mailing Address - Country:US
Mailing Address - Phone:855-690-2192
Mailing Address - Fax:888-972-2192
Practice Address - Street 1:2104 DAYBREAK DR
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-6409
Practice Address - Country:US
Practice Address - Phone:855-690-2192
Practice Address - Fax:888-972-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty