Healthcare Provider Details

I. General information

NPI: 1609639509
Provider Name (Legal Business Name): BASES GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 BIESTERFIELD RD STE 108
ELK GROVE VILLAGE IL
60007-3393
US

IV. Provider business mailing address

901 BIESTERFIELD RD STE 108
ELK GROVE VILLAGE IL
60007-3393
US

V. Phone/Fax

Practice location:
  • Phone: 630-303-6825
  • Fax:
Mailing address:
  • Phone: 630-303-6825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD IMRAN ALVI
Title or Position: DIRECTOR
Credential: BCBA
Phone: 630-303-6825