Provider Demographics
NPI:1689990079
Name:SAGE SERVICES, LLC
Entity Type:Organization
Organization Name:SAGE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:815-624-2783
Mailing Address - Street 1:122 EAGLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ROCKTON
Mailing Address - State:IL
Mailing Address - Zip Code:61072-3104
Mailing Address - Country:US
Mailing Address - Phone:815-624-2783
Mailing Address - Fax:
Practice Address - Street 1:122 EAGLEWOOD PL
Practice Address - Street 2:
Practice Address - City:ROCKTON
Practice Address - State:IL
Practice Address - Zip Code:61072-3104
Practice Address - Country:US
Practice Address - Phone:815-624-2783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-11
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty