Kankakee Autism Care Therapy is a
Behavior Analyst based in Custer Park, Illinois. Kankakee Autism Care Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
35334 Washington St, Custer Park, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 272-6478.
NPI number for Kankakee Autism Care Therapy is 1124839477 and their current mailing address is 35334 Washington St, Custer Park, Illinois. Kankakee Autism Care Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124839477.
Healthcare Provider's Profile
Full Name | Kankakee Autism Care Therapy |
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Type | Facility |
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Speciality | Behavior Analyst |
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Location | 35334 Washington St, Custer Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124839477
- Provider Enumeration Date: 01/16/2025
- Last Update Date: 01/16/2025
Medical Identifiers
Medical identifiers for Kankakee Autism Care Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124839477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kankakee Autism Care Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kankakee Autism Care Therapy 35334 Washington St, Custer Park, IL 60481-9157 Ph: (815) 272-6478 | Kankakee Autism Care Therapy 35334 Washington St, Custer Park, IL 60481-9157 Ph: (815) 272-6478 |
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