Healthcare Provider Details

I. General information

NPI: 1235091851
Provider Name (Legal Business Name): APPLE ABA IL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 S BLUE ISLAND AVE UNIT 824
CHICAGO IL
60608-2133
US

IV. Provider business mailing address

5 BLUE SKY DR
SUFFERN NY
10901-2307
US

V. Phone/Fax

Practice location:
  • Phone: 201-270-0222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JAY SALES
Title or Position: CEO
Credential:
Phone: 917-887-2370