Provider Demographics
NPI:1720580889
Name:BASES GROUP INC
Entity Type:Organization
Organization Name:BASES GROUP INC
Other - Org Name:BASES GROUP INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALVI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:630-303-6825
Mailing Address - Street 1:5S681 PARK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-3854
Mailing Address - Country:US
Mailing Address - Phone:630-890-3099
Mailing Address - Fax:
Practice Address - Street 1:901 BIESTERFIELD RD STE 110
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3393
Practice Address - Country:US
Practice Address - Phone:630-303-6825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-14-10456103K00000X
106S00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty