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Aba Midwest Education Ltd

Behavior Analyst

Behavioral Health & Social Service Providers

1136 S Delano Ct W B201, Chicago, IL 60605-3734

PECOS Enrollment

Based on the most recent information from CMS, provider Aba Midwest Education Ltd does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:30 AM.

Profile Details

Provider ID
1891088290
Provider Type
Organization
Full Name
Aba Midwest Education Ltd

Subpart
No
Enumeration Date
5/18/2011
Last Updated
9/18/2019

Contact Information

Practice Location

1136 S Delano Ct W B201, Chicago, IL 60605-3734

(312) 375-1000

(773) 326-0725

Mailing Location

1136 S Delano Ct W B201, Chicago, IL 60605-3734

(312) 375-1000

(773) 326-0725

Authorized Official

Pellecchia, Janice Marie (Board Certified Behavior Analyst)

(312) 375-1000

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-031395 Illinois
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-118506 Illinois
Code 103TC0700X	Description Psychologist Behavioral Health & Social Service Providers	License 071-004663 Illinois
Code 103TM1800X	Description Psychologist Behavioral Health & Social Service Providers	License 1-031395 Illinois
Code 103TM1800X	Description Psychologist Behavioral Health & Social Service Providers	License 071-004663 Illinois

Provider Identifiers

ID	Description	Issuer
ID 1114025434	Description Other	Issuer LCP, ILLINOIS Illinois
ID 1407069941	Description Other	Issuer BEHAVIORAL ANALYST

Aba Midwest Education Ltd

PECOS Enrollment

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