Infinity ABA Therapy & Autism Services, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INFINITY ABA THERAPY & AUTISM SERVICES, INC.

Practice address

70 Renaux Blvd
Saint Charles, IL 60175-1092

Phone

(331) 222-6021

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Kimtracy D Villarin, BCABA, LABA

Title

President

Phone

(331) 222-6021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1881148476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 RENAUX BLVD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751092",
            "telephone_number": "331-222-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 RENAUX BLVD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751092",
            "telephone_number": "331-222-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY ABA THERAPY & AUTISM SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "VILLARIN",
        "authorized_official_first_name": "KIMTRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-222-6021",
        "authorized_official_credential": "BCABA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.