Provider Demographics
NPI:1477815959
Name:FOX VALLEY BEHAVIORAL SOLUTIONS LLC
Entity type:Organization
Organization Name:FOX VALLEY BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SENIOR BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:312-865-1677
Mailing Address - Street 1:1609 WATERFORD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1741
Mailing Address - Country:US
Mailing Address - Phone:312-865-1677
Mailing Address - Fax:
Practice Address - Street 1:1609 WATERFORD RD
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1741
Practice Address - Country:US
Practice Address - Phone:312-865-1677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010524103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty