Healthcare Provider Details

I. General information

NPI: 1316865769
Provider Name (Legal Business Name): SARAH KVAM MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 PARK ST STE 100
NAPERVILLE IL
60563-8477
US

IV. Provider business mailing address

1732 HARROW CT APT C
WHEATON IL
60189-8342
US

V. Phone/Fax

Practice location:
  • Phone: 630-884-5761
  • Fax:
Mailing address:
  • Phone: 630-400-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number152.000905
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: