Amango Autism Correlation Functional Behavior Intervention Inc
Organization Active NPI Psychologist · Palatine, IL
NPI 1437817657 · NPPES record last updated Jan 2, 2022
Key facts
- NPI
- 1437817657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- AMANGO AUTISM CORRELATION FUNCTIONAL BEHAVIOR INTERVENTION INC
- Practice address
- 2291 N Enlund Dr Unit 8
Palatine, IL 60074-2202 - Phone
- (630) 670-7473
- NPI assigned
- Dec 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Gladys Annor Gyabaah, PSYCHOLOGIST
- Title
- Ceo & Founder
- Phone
- (773) 867-0635
Practitioners 1
-
Gladys Annor Gyabaah, PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Neuropsychologist |
103G00000X | |||
| Behavior Analyst |
103K00000X | |||
| Psychologist |
103T00000X | Yes | ||
| Adult Development & Aging Psychologist |
103TA0700X | |||
| Cognitive & Behavioral Psychologist |
103TB0200X | |||
| Clinical Psychologist |
103TC0700X | |||
| Forensic Psychologist |
103TF0200X | |||
| Assistant Behavior Analyst |
106E00000X | |||
| Pediatric Neurodevelopmental Disabilities Physician |
2080P0008X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2291 N Enlund Dr Unit 8
Palatine, IL 60074-2202
Mailing address
1129 Homestead Rd Apt 2a
La Grange Park, IL 60526-5413
Phone (773) 867-0635
Other practice location 1
6111 W Giddings St Apt 1
Chicago, IL 60630-4540
Phone (773) 867-0635
Other practice location 2
1129 Homestead Rd Apt 2A
LA Grange Park, IL 60526-5413
Phone (773) 867-0635
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | a.acfbi@direct.aclinic.org | Direct | |
| Direct Messaging Address | g.gyabaah@direct.aacfbiclinic.org | Direct | |
| Direct Messaging Address | a.acfbi@direct.aclinic.org | Direct | |
| Direct Messaging Address | a.acfbi@direct.aclinic.org | Direct |
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2022. 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.