NPIMap

Organization Active NPI

Resilience ABA LLC

  • Behavior Analyst
  • Springfield, IL
National Provider Identifier
1003604455
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RESILIENCE ABA LLC
Practice address
6405 McIntosh CT
Springfield, IL 62711-6815
Phone
(618) 967-8859
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leigh Karole GrannanNPI 1861512501
Title
Owner
Phone
(618) 967-8859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6405 McIntosh CT
Springfield, IL 62711-6815

Mailing address

6405 McIntosh CT
Springfield, IL 62711-6815
Phone (618) 967-8859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1003604455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 MCINTOSH CT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116815",
            "telephone_number": "618-967-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MCINTOSH CT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116815",
            "telephone_number": "618-967-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "GRANNAN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "KAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-967-8859"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.