Impacting Autism, LLC
Behavior Analyst · Inverness, IL
Practice location
1613 W Colonial PkwySuite 200
Inverness, IL 60067-4827
- Phone
- (847) 331-5370
- Fax
- (847) 202-1150
NPI record
- NPI
- 1740522549
- Entity type
- Organization (Type 2)
- Enumeration date
- March 20, 2013
- Last updated
- July 2, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
1-09-6494 | IL |
Authorized official
- Name
- Dianna Poulos, M.A.,BCBA
- Title
- Board Certified Behavior Analyst
- Phone
- (847) 331-5370
About Impacting Autism, LLC
Impacting Autism, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1613 W Colonial Pkwy, Suite 200, Inverness, IL 60067-4827. The NPI number 1740522549 was assigned on March 20, 2013 and the record was last updated on July 2, 2016.
Impacting Autism, LLC lists a license in the registry: #1-09-6494 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dianna Poulos, M.A.,BCBA, Board Certified Behavior Analyst.
Frequently asked questions
What is the NPI number of Impacting Autism, LLC?
The NPI number is 1740522549.
What is the phone number of Impacting Autism, LLC?
The phone number listed for the practice location is (847) 331-5370.
Where is Impacting Autism, LLC located?
1613 W Colonial Pkwy, Suite 200, Inverness, IL 60067-4827.
What is the taxonomy code for Impacting Autism, LLC?
The primary taxonomy code is 103K00000X – Behavior Analyst.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Behavior Analyst providers in Inverness
- Jennifer Bochat, MA, BCBA1613 W Colonial Pkwy