NPIMap

Organization Active NPI

ABA Consultation & in-Home Therapy, LLC

  • Behavior Analyst
  • Carbondale, IL
National Provider Identifier
1780944355
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABA CONSULTATION & IN-HOME THERAPY, LLC
Practice address
706 E Campus Dr
Carbondale, IL 62901-3861
Phone
(715) 703-0573
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Ms. Autumn Nicole McKeel
Title
Owner/President
Phone
(715) 703-0573

Specialties & licenses 1

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

Addresses

Primary practice location

706 E Campus Dr
Carbondale, IL 62901-3861

Mailing address

706 E Campus Dr
Carbondale, IL 62901-3861
Phone (715) 703-0573

National Provider Directory

National Provider Directory
Tax ID family
ABA Consultation in-Home Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1780944355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E CAMPUS DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013861",
            "telephone_number": "715-703-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E CAMPUS DR",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013861",
            "telephone_number": "715-703-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CONSULTATION & IN-HOME THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "MCKEEL",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-703-0573",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.