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General NPI Number Information
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NPI Number | 1720992720
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Entity Type | Organization
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Legal Business Name | AUTISM CENTER OF ILLINOIS CLINICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 1387 N GALENA AVE
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City | DIXON
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State | IL
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Zip | 61021-1009
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Country | US
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Telephone | 815-440-6134
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Fax |
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Provider Business Mailing Address
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Address Line | 1387 N GALENA AVE
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City | DIXON
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State | IL
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Zip | 61021-1009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCBA/FOUNDER
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Name | SARAH SVENDSEN
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Credential |
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Telephone | 815-627-6439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NULL
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