Provider Demographics
NPI:1013430008
Name:UNLOCKING ABILITIES BEHAVIOR AND LEARNING, LLC
Entity Type:Organization
Organization Name:UNLOCKING ABILITIES BEHAVIOR AND LEARNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HITCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-260-1244
Mailing Address - Street 1:1715 N DIVISION ST STE D
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-3102
Mailing Address - Country:US
Mailing Address - Phone:815-260-1244
Mailing Address - Fax:
Practice Address - Street 1:1715 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-3100
Practice Address - Country:US
Practice Address - Phone:815-260-1244
Practice Address - Fax:855-882-1650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 261QM1300X
IL1-14-15083251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty