Solid Ground Behavioral Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOLID GROUND BEHAVIORAL SERVICES

Practice address

11940 S Springfield Ave
Alsip, IL 60803-1117

Phone

(708) 969-4109

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Inonge Latanya Mason-Borden

Title

Bcba

Phone

(708) 969-4109

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1932563426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 S SPRINGFIELD AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031117",
            "telephone_number": "708-969-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 S SPRINGFIELD AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031117",
            "telephone_number": "708-969-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID GROUND BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "MASON-BORDEN",
        "authorized_official_first_name": "INONGE LATANYA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "708-969-4109"
    },
    "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 Alsip, IL
• Providers in Alsip, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.