Organization Active NPI

Dash ABA Illinois, PLLC

  • Behavior Analyst
  • Peoria, IL
National Provider Identifier
1548167133
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DASH ABA ILLINOIS, PLLC
Practice address
7314 N Willow Lake CT
Peoria, IL 61614-8277
Phone
(309) 617-3274
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Philip Abbenhaus
Title
Ceo
Phone
(314) 504-8500

Specialties & licenses 1

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

Addresses

Primary practice location

7314 N Willow Lake CT
Peoria, IL 61614-8277

Mailing address

837 Castle Pines Dr
Ballwin, MO 63021-4456

National Provider Directory

National Provider Directory

Locations

7314 N Willow Lake Ct
Peoria, IL 61614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1548167133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 CASTLE PINES DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 N WILLOW LAKE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148277",
            "telephone_number": "309-617-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH ABA ILLINOIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "ABBENHAUS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-504-8500"
    },
    "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 Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.