| Fern Leaf Aba, Llc | |
|
1740 Innovation Dr Rm 205 Carbondale IL 62903 | |
| (309) 320-8944 | |
| Not Available |
| Full Name | Fern Leaf Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1740 Innovation Dr Rm 205, Carbondale, Illinois |
| Authorized Official Name and Position | Anna E Cronin (OWNER & DIRECTOR; BEHAVIOR ANALYST) |
| Authorized Official Contact | 3093208944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fern Leaf Aba, Llc 1740 Innovation Dr. Box 18 Carbondale IL 62903 Ph: (309) 320-8944 | Fern Leaf Aba, Llc 1740 Innovation Dr Rm 205 Carbondale IL 62903 Ph: (309) 320-8944 |
| NPI Number | 1891399671 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 03/20/2026 |
| Certification Date | 03/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891399671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Centerstone Of Illinois, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 S Illinois Ave, Carbondale, IL 62903 Phone: 618-937-6483 | |
Shawnee Health Service And Development Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1025 N Wall St Rm 102, Carbondale, IL 62901 Phone: 618-519-9200 | |
Shawnee Health Service And Development Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-519-9961 | |
Southern Il Regional Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 E College St, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-457-8377 | |
Centerstone Of Illinois Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Lewis Ln, Carbondale, IL 62901 Phone: 618-937-6483 | |
Behavioral Services Of Southern Illinois Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Blackberry Ln, Carbondale, IL 62903 Phone: 618-303-9282 Fax: 618-319-1122 | |
Synapse Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 Cedar Ct, Carbondale, IL 62901 Phone: 618-467-8805 Fax: 618-766-8073 |