EARLY AUTISM SERVICES, LLC (NPI# 1700130713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700130713 |
| Entity Type | Organization |
| Organization Name | EARLY AUTISM SERVICES, LLC |
| Practice Address |
306 N Kensington Ave La Grange Park IL 60526-1870 |
| Practice Telephone | (312) 914-0611 |
| Mailing Telephone | 3129140611 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | BENJAMIN WESSELS (OWNER) |
| Authorized Official Telephone | 3129652997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
306 N KENSINGTON AVE |
| City | LA GRANGE PARK |
| State | IL |
| Zip Code | 60526-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060077 | Carla Tisdale | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-10-16 |
| 1295333755 | Lilybeth Perez | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-10-15 |
| 1275148538 | Cynthia Guzman | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-14 |
| 1720693112 | Logan Foreit | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-11 |
| 1215542980 | Lauren Donovan | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1942815618 | Nico Salemi | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1093320780 | Kelly Grusecki | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1366057044 | Hania Jakszuk | Behavioral Analyst | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1184239865 | Mary Moore | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1346866688 | Kate Regnier | Behavior Technician | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073944344 | Emily Patricia Monteagudo Crohn | Speech-Language Pathologist | 901 Forest Rd, La Grange Park, IL 60526 | 2013-12-11 |
| 1821334830 | Erelin M Deang | Behavioral Analyst | 306 N. Kensington Ave., La Grange Park, IL 60526 | 2012-12-19 |
| 1013168129 | Regan Thompson | Specialist | 11 Garden Drive #4, La Grange Park, IL 60526 | 2008-10-07 |
| 1437379724 | Manuel A.malicay Md Sc | Internal Medicine | 430 N. Sherwood Road, La Grage Park, IL 60526 | 2007-04-27 |
| 1790861383 | Pinnacle Healthcare of La Grange | Skilled Nursing Facility | 701 N La Grange Rd, La Grange Park, IL 60526 | 2006-10-27 |
| 1285681734 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 507 Woodlawn Dr, La Grange Park, IL 60526 | 2006-05-30 |
| 1386606713 | John T Polacek | Dentist | 539 N La Grange Road, La Grange Park, IL 60526 | 2006-04-03 |
| 1326526534 | Samantha L Ylagan | Occupational Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-07-31 |
| 1396236139 | Mary B Cipolla | Physical Therapist | 407 N La Grange Rd, La Grange Park, IL 60526 | 2018-05-29 |
| 1376738823 | Francis James Di Iorio | Chiropractor | 48 E 31st St, La Grange Park, IL 60526 | 2007-09-07 |
| Find all providers in zip 60526 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092458 | Elizabeth Cutrara Stamer | Behavioral Analyst | 527 N Ashland Ave, La Grange Park, IL 60526-5604 | 2013-06-11 |
| 1821334830 | Erelin M Deang | Behavioral Analyst | 306 N. Kensington Ave., La Grange Park, IL 60526 | 2012-12-19 |
| 1366057044 | Hania Jakszuk | Behavioral Analyst | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-09-10 |
| 1285265843 | Jessica Montalvo | Behavioral Analyst | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2020-01-31 |
| 1639665086 | Cynthia Elena Gonzalez | Behavioral Analyst | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2018-07-09 |
| 1548767833 | Michelle Rambeau | Behavioral Analyst | 306 N Kensington Ave, La Grange Park, IL 60526-1870 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 1447866363 | Allison Gratz | Behavioral Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | LA GRANGE PARK |
| Zip Code | 60526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.