Organization Active NPI

Fern Leaf ABA, LLC

  • Behavior Analyst
  • Carbondale, IL
National Provider Identifier
1891399671
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FERN LEAF ABA, LLC
Practice address
1740 Innovation Dr RM 205
Carbondale, IL 62903
Phone
(309) 320-8944
NPI assigned
Nov 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Anna E Cronin, BCBANPI 1295171973
Title
Owner & Director; Behavior Analyst
Phone
(309) 320-8944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1740 Innovation Dr RM 205
Carbondale, IL 62903

Mailing address

1740 Innovation Dr.
Box 18
Carbondale, IL 62903
Phone (309) 320-8944

National Provider Directory

National Provider Directory

Locations

1740 Innovation Dr
Rm 205
Carbondale, IL 62903
Phone (309) 320-8944

1740 Innovation Dr
#18
Carbondale, IL 62903
Phone (309) 320-8944

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": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1891399671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 INNOVATION DR.",
            "address_2": "BOX 18",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62903",
            "telephone_number": "309-320-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 INNOVATION DR RM 205",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62903",
            "telephone_number": "309-320-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN LEAF ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER & DIRECTOR; BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "309-320-8944",
        "authorized_official_credential": "BCBA"
    },
    "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 Mar 20, 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.