Provider Demographics
NPI:1982090304
Name:A.B.S. BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:A.B.S. BEHAVIORAL SERVICES
Other - Org Name:AUTISM BRGHT START
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HIVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-880-8002
Mailing Address - Street 1:233 S WACKER DR
Mailing Address - Street 2:84TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-7147
Mailing Address - Country:US
Mailing Address - Phone:770-880-8002
Mailing Address - Fax:773-666-5883
Practice Address - Street 1:8833 GROSS POINT RD
Practice Address - Street 2:SUITE 309
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1859
Practice Address - Country:US
Practice Address - Phone:770-880-8002
Practice Address - Fax:773-666-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1052372103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty