NPIMap

Organization Active NPI

Early Autism Services, LLC

  • Behavior Analyst
  • Windsor Mill, MD
National Provider Identifier
1225834286
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EARLY AUTISM SERVICES, LLC
Practice address
7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077
Phone
(312) 965-2997
Fax
(312) 929-0324
NPI assigned
Feb 20, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Benjamin WesselsNPI 1194957951
Title
Owner
Phone
(312) 965-2997

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

Practitioners 19

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

View all 19

National Provider Directory

National Provider Directory

Locations

1721 Moon Lake Blvd
Ste 140
Hoffman Estates, IL 60169
Phone (478) 334-2824

640 Grassmere Park
Ste 116
Nashville, TN 37211
Phone (615) 391-4515

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077

Mailing address

1721 Moon Lake Blvd Ste 140
Hoffman Estates, IL 60169-1070
Phone (312) 965-2997

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2025.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1225834286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD STE 140",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691070",
            "telephone_number": "312-965-2997",
            "fax_number": "312-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 AMBASSADOR RD STE 150",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212443077",
            "telephone_number": "312-965-2997",
            "fax_number": "312-929-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WESSELS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-965-2997"
    },
    "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 Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.