Healthcare Provider Details

I. General information

NPI: 1316858715
Provider Name (Legal Business Name): ACE BEHAVIOR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11560 S KEDZIE AVE
MERRIONETTE PARK IL
60803-4517
US

IV. Provider business mailing address

25 LEIMS RD
PARK FOREST IL
60466-2120
US

V. Phone/Fax

Practice location:
  • Phone: 708-577-9394
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JOELLE HAYES
Title or Position: REREGISTERED BEHAVIOR TECHNICIAN
Credential:
Phone: 708-577-9394