Healthcare Provider Details

I. General information

NPI: 1023415759
Provider Name (Legal Business Name): JENNIFER VORCE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 E INDIAN TRL
AURORA IL
60505-1732
US

IV. Provider business mailing address

231 E INDIAN TRL
AURORA IL
60505-1732
US

V. Phone/Fax

Practice location:
  • Phone: 312-264-4069
  • Fax: 224-699-2237
Mailing address:
  • Phone: 312-264-4069
  • Fax: 224-699-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11410134
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: