Provider Demographics
NPI:1760791362
Name:KARALIS, ELLEN (BCBA)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:KARALIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 S PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5008
Mailing Address - Country:US
Mailing Address - Phone:630-267-4911
Mailing Address - Fax:630-903-6045
Practice Address - Street 1:956 S PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5008
Practice Address - Country:US
Practice Address - Phone:630-267-4911
Practice Address - Fax:630-903-6045
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst