MEDICARE: AMY M SACHS MS, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-13-14864	IL

General Provider Information

NPI Number	:	1518119866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY M SACHS MS, BCBA

Provider Business Mailing Address
First Line	:	925 HIDDEN LAKE RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-2852
Country	:	US
Telephone Number	:	630-921-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 HIDDEN LAKE RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-2852
Country	:	US
Telephone Number	:	630-921-1063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	05/01/2014

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