# AUTISM CENTER OF SAUK VALLEY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autism Center of Illinois
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881380814
- **Authorized official:** SARAH LEWIS (BCBA/OWNER)
- **Authorized official phone:** (815) 535-8963

## Contact information

- **Practice address:** 1387 N GALENA AVE, DIXON, IL 61021-1009
- **Practice address phone:** (815) 440-6134
- **Mailing address:** 751 FOREST PARK DR, DIXON, IL 61021-9553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 09/29/2026
