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FOREST CITY BEHAVIOR LLC NPI 1073966719


NPI Information

NPI: 1073966719
Provider Name: FOREST CITY BEHAVIOR LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
807 MONROE ST
MENDOTA, IL
ZIP 61342
Phone: (815) 627-0641
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FOREST CITY BEHAVIOR LLC is a behavior analyst in Mendota, IL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. FOREST CITY BEHAVIOR LLC NPI is 1073966719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

807 MONROE ST
MENDOTA, IL
ZIP 61342-662
Phone: (815) 627-0641
Fax: (270) 514-8294

The provider's authorized official is Erin Wade .
The authorized official title is President and has the following contact phone number (815) 627-0641.

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental Disabilities071-007297ILLINOISNo
2103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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