KANKAKEE AUTISM CARE THERAPY NPI 1124839477

NPI Information

  • NPI: 1124839477
  • Provider Name: KANKAKEE AUTISM CARE THERAPY
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 35334 WASHINGTON ST
    CUSTER PARK, IL
    ZIP 60481
  • Phone: (815) 272-6478

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NPI Details

KANKAKEE AUTISM CARE THERAPY is a behavior analyst in Custer Park, IL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. KANKAKEE AUTISM CARE THERAPY NPI is 1124839477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35334 WASHINGTON ST
CUSTER PARK, IL
ZIP 60481-157
Phone: (815) 272-6478

The provider's authorized official is Kelly K Finnegan .
The authorized official title is Owner and has the following contact phone number (815) 272-6478.

The enumeration date for this NPI number is 1/16/2025 and was last updated on 1/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystYes
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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