Healthcare Provider Details
I. General information
NPI: 1124933346
Provider Name (Legal Business Name): MOMENTUM ABA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15255 SOUTH 94TH AVE STE 500
ORLAND PARK IL
60462
US
IV. Provider business mailing address
14007 S BELL RD STE 124
HOMER GLEN IL
60491-8463
US
V. Phone/Fax
- Phone: 708-232-3112
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LILA
KAYALI
Title or Position: MANAGING MEMBER
Credential: BCBA, LBA
Phone: 708-232-3112