Healthcare Provider Details

I. General information

NPI: 1568388775
Provider Name (Legal Business Name): ROOTED CONNECTIONS ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 EDENS LANE
NORTHFIELD IL
60093
US

IV. Provider business mailing address

1402 JONES ST # 1009
OMAHA NE
68102-3218
US

V. Phone/Fax

Practice location:
  • Phone: 531-207-1863
  • Fax: 531-207-1863
Mailing address:
  • Phone: 531-207-1863
  • Fax: 531-207-1863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JULIE AIELLO
Title or Position: CCO
Credential: BCBA
Phone: 531-207-1863