Provider Demographics
NPI:1396914339
Name:ABA MIDWEST LTD.
Entity type:Organization
Organization Name:ABA MIDWEST LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR BEHAVIOR ANALYST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLECCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:630-673-1211
Mailing Address - Street 1:720 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6908
Mailing Address - Country:US
Mailing Address - Phone:815-690-1400
Mailing Address - Fax:815-727-7603
Practice Address - Street 1:1530 S STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2964
Practice Address - Country:US
Practice Address - Phone:630-673-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health