Healthcare Provider Details

I. General information

NPI: 1518870351
Provider Name (Legal Business Name): ACHIEVEMENT AUTISM SERVICES IL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S CANAL ST
CHICAGO IL
60607-4715
US

IV. Provider business mailing address

341 TRINITY ST
MALVERNE NY
11565-1234
US

V. Phone/Fax

Practice location:
  • Phone: 516-229-1194
  • Fax: 516-329-9747
Mailing address:
  • Phone: 516-229-1194
  • Fax: 516-329-9747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFFREY CHYAU
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 516-229-1194