Healthcare Provider Details

I. General information

NPI: 1588529820
Provider Name (Legal Business Name): ABA AUTISM SERVICES FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25022 S FOXFORD DR.
MANHATTAN IL
60442
US

IV. Provider business mailing address

1 WESTBROOK CORPORATE CTR STE 300
WESTCHESTER IL
60154-5709
US

V. Phone/Fax

Practice location:
  • Phone: 815-274-0907
  • Fax: 815-478-9610
Mailing address:
  • Phone: 815-274-0907
  • Fax: 815-478-9610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANN F COUTCHER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 815-274-0907