Organization Active NPI

Autism Kreative Therapy ABA LLC

  • Behavior Analyst
  • Aurora, IL
National Provider Identifier
1316836620
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM KREATIVE THERAPY ABA LLC
Practice address
2488 Georgetown Cir
Aurora, IL 60503-6718
Phone
(708) 203-4687
Fax
(331) 258-3136
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Qualeshia Smith, LSBI-MENTAL HEALTH
Title
Owner
Phone
(331) 444-2302

Specialties & licenses 1

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

Addresses

Primary practice location

2488 Georgetown Cir
Aurora, IL 60503-6718

Mailing address

2488 Georgetown Cir
Aurora, IL 60503-6718
Phone (708) 203-4687

Other names 1

  • Autism Kreative Therapy ABA LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1316836620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 GEORGETOWN CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036718",
            "telephone_number": "708-203-4687",
            "fax_number": "331-258-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GEORGETOWN CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036718",
            "telephone_number": "708-203-4687",
            "fax_number": "331-258-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM KREATIVE THERAPY ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QUALESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-444-2302",
        "authorized_official_credential": "LSBI-MENTAL HEALTH"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Kreative Therapy ABA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.