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NPI Code Detail

MEDICARE: AUTISM, BEHAVIORAL & EDUCATIONAL SERVICES INC

MEDICARE: AUTISM, BEHAVIORAL & EDUCATIONAL SERVICES INC
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
1103K00000XBehavior Analyst
2251S00000XCommunity/Behavioral Health Agency
3261QH0700XHearing and Speech Clinic/Center
4106S00000XBehavior Technician
5261QA3000XAugmentative Communication Clinic/Center
6261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1275962714
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM, BEHAVIORAL & EDUCATIONAL SERVICES INC
Provider Business Mailing Address
First Line : 1250 EXECUTIVE PL STE 201
Second Line :
City : GENEVA
State : IL
Zip : 60134-3805
Country : US
Telephone Number : 815-223-2237
Fax Number : 815-327-3440
Provider Business Practice Location Address
First Line : 1250 EXECUTIVE PL STE 201
Second Line :
City : GENEVA
State : IL
Zip : 60134-3805
Country : US
Telephone Number : 815-223-2237
Fax Number : 815-327-3440
Authorized Official
Title or Position : CEO
Name : VERONICA GLICKMAN
Credential : BCBA, LBA
Telephone Number : 847-336-2237
Provider Enumeration Date : 11/05/2013
Last Update Date : 12/01/2025

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