MEDICARE: JESUS MORALES BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-24-73833	IL

General Provider Information

NPI Number	:	1033899182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS MORALES BCBA

Provider Business Mailing Address
First Line	:	326 KENT AVE
Second Line	:
City	:	ROMEOVILLE
State	:	IL
Zip	:	60446-1615
Country	:	US
Telephone Number	:	815-919-2413
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 S MICHIGAN AVE, STE 900, CHICAGO, IL 60604-4393
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-4393
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	01/30/2026

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