Kankakee Autism Care Therapy
Organization Active NPI Behavior Analyst · Custer Park, IL
NPI 1124839477 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1124839477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- KANKAKEE AUTISM CARE THERAPY
- Practice address
- 35334 Washington St
Custer Park, IL 60481-9157 - Phone
- (815) 272-6478
- NPI assigned
- Jan 16, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- AUTISM CARE THERAPY
Authorized official
- Name
- Kelly K Finnegan
- Title
- Owner
- Phone
- (815) 272-6478
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Kankakee Autism Care Therapy
- Part of
- Kankakee Autism Care Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
35334 Washington St
Custer Park, IL 60481-9157
Mailing address
35334 Washington St
Custer Park, IL 60481-9157
Phone (815) 272-6478
Other names
- Kankakee Autism Care Therapy
Other providers in Custer Park, IL
All providers in Custer Park, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.