# ILLINOIS BEHAVIOR ANALYSIS GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871452870
- **Authorized official:** SAMANTHA BAKER (MANAGER)
- **Authorized official phone:** (630) 895-0295

## Contact information

- **Practice address:** 660 W RANDOLPH ST, CHICAGO, IL 60661-2114
- **Practice address phone:** (224) 478-2902
- **Mailing address:** 660 W RANDOLPH ST, CHICAGO, IL 60661-2114
- **Mailing address phone:** (630) 632-4350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 01/16/2026
- **Last updated:** 10/06/2026