Individual
AUTUMN CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, MS, BCBA
Contact information
Practice address
150 E DARTMOOR DR, CRYSTAL LAKE, IL 60014-8710
(888) 308-3728
Mailing address
38W505 MALLARD LAKE RD, SAINT CHARLES, IL 60175-6825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB1190712
IL
106S00000X
Behavior Technician
Primary
RBT-25-447160
IL
Other
Enumeration date
06/09/2026
Last updated
07/09/2026
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