MEDICARE: IMAGINENATION ABA LLC

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

General Provider Information

NPI Number	:	1851243851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGINENATION ABA LLC

Provider Business Mailing Address
First Line	:	1155 E 28TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6036 N CENTRAL PARK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3205
Country	:	US
Telephone Number	:	561-400-5713
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DEVORAH ACKERMAN
Credential	:
Telephone Number	:	561-400-5713

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

Similar Medicare Providers

1639168024 — COMPLETE DENTAL CARE LTD
Practice Location Address:

3205 W IRVING PARK RD
CHICAGO, IL
60618-3301

Practice Phone: 773-267-2671
Practice Fax: 773-267-2628

1639169956 — DR. YELENA M REVICH D.D.S.
Practice Location Address:

3205 W IRVING PARK RD
CHICAGO, IL
60618-3301

Practice Phone: 332-267-2671
Practice Fax:

1235276445 — JEFF KENNY
Practice Location Address:

405 N WABASH AVE SUITE 3205
CHICAGO, IL
60611

Practice Phone: 312-222-1266
Practice Fax:

1013047372 — SUNITA SAHU DDS
Practice Location Address:

3205 W IRVING PARK RD
CHICAGO, IL
60618-3301

Practice Phone: 773-267-2671
Practice Fax: 773-267-2678

1861609901 — LAURA HAWKESWORTH MS, OTR/L
Practice Location Address:

1433 W FLOURNOY ST
CHICAGO, IL
60607-3205

Practice Phone: 773-574-3086
Practice Fax:

1700073780 — MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.
Practice Location Address:

30 S MICHIGAN AVE STE 500
CHICAGO, IL
60603-3205

Practice Phone: 312-977-1185
Practice Fax: 312-977-1188

Directions to “IMAGINENATION ABA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.