Healthcare Provider Details

I. General information

NPI: 1134760549
Provider Name (Legal Business Name): ABA FOR ALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 11/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18W213 KNOLLWOOD LN
OAKBROOK TERRACE IL
60181-3632
US

IV. Provider business mailing address

18W213 KNOLLWOOD LN
OAKBROOK TERRACE IL
60181-3632
US

V. Phone/Fax

Practice location:
  • Phone: 630-672-4222
  • Fax:
Mailing address:
  • Phone: 630-672-4222
  • 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 Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SYED HUSSAINI
Title or Position: PRESIDENT
Credential:
Phone: 630-672-4222