Provider Demographics
NPI:1922267418
Name:AUTISM AND BEHAVIOR CONSULTANTS, INC.
Entity Type:Organization
Organization Name:AUTISM AND BEHAVIOR CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAREDITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-774-0262
Mailing Address - Street 1:1789 CHURCHILL LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1301
Mailing Address - Country:US
Mailing Address - Phone:630-774-0262
Mailing Address - Fax:630-672-7434
Practice Address - Street 1:1789 CHURCHILL LN
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1301
Practice Address - Country:US
Practice Address - Phone:630-774-0262
Practice Address - Fax:630-672-7434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health