Provider Demographics
NPI:1891273132
Name:ACADEMIC & BEHAVIOR CONSULTANTS OF ILLINOIS, INC.
Entity Type:Organization
Organization Name:ACADEMIC & BEHAVIOR CONSULTANTS OF ILLINOIS, INC.
Other - Org Name:ABC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYYAD-ALHARSHA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:708-369-3741
Mailing Address - Street 1:8142 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2763
Mailing Address - Country:US
Mailing Address - Phone:708-369-3741
Mailing Address - Fax:
Practice Address - Street 1:8142 ABERDEEN DR
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-2763
Practice Address - Country:US
Practice Address - Phone:708-369-3741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-14-17884103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty