| Impacting Autism, Llc | |
|
1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 | |
| (847) 331-5370 | |
| (847) 202-1150 |
| Full Name | Impacting Autism, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1613 W Colonial Pkwy, Inverness, Illinois |
| Authorized Official Name and Position | Dianna Poulos (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8473315370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impacting Autism, Llc 1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 Ph: (847) 331-5370 | Impacting Autism, Llc 1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 Ph: (847) 331-5370 |
| NPI Number | 1740522549 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 07/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740522549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6494 (Illinois) | Primary |
Proactive Behavioral Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1644 W. Colonial Pkwy., Inverness, IL 60067 Phone: 847-776-4500 Fax: 847-776-4724 | |
Positive Care Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1642 W Colonial Pkwy, Inverness, IL 60067 Phone: 847-401-7791 | |
Purple Flowers 365 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W Colonial Pkwy Ste M, Inverness, IL 60067 Phone: 847-222-3828 | |
Diane Lin Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 W Colonial Pkwy Ste 302, Inverness, IL 60067 Phone: 224-662-0015 | |
Gonski Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 W Colonial Pkwy, Suite 201, Inverness, IL 60067 Phone: 708-560-6653 | |
Serenity Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Colonial Pkwy Ste 200, Inverness, IL 60067 Phone: 847-364-0163 | |
Valerie Bond Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 W Colonial Pkwy Ste 300, Inverness, IL 60067 Phone: 847-921-7006 |