Provider Demographics
NPI: | 1851847388 |
---|---|
Name: | INSPIRE BEHAVIORAL SOLUTIONS LLC |
Entity Type: | Organization |
Organization Name: | INSPIRE BEHAVIORAL SOLUTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CO-OWNER/BCBA |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SHANNON |
Authorized Official - Middle Name: | MICHELLE |
Authorized Official - Last Name: | HAMNING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 815-641-9187 |
Mailing Address - Street 1: | 19060 EVERETT BLVD UNIT 107 |
Mailing Address - Street 2: | |
Mailing Address - City: | MOKENA |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60448-2500 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 815-641-9187 |
Mailing Address - Fax: | 779-324-5236 |
Practice Address - Street 1: | 19060 EVERETT BLVD UNIT 107 |
Practice Address - Street 2: | |
Practice Address - City: | MOKENA |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60448-2500 |
Practice Address - Country: | US |
Practice Address - Phone: | 815-641-9187 |
Practice Address - Fax: | 779-324-5236 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-08-25 |
Last Update Date: | 2023-05-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty |