Organization
ABA MIDWEST EDUCATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MARIE PELLECCHIA B.C.B.A, M.A. (BOARD CERTIFIED BEHAVIOR ANALYST)
(312) 375-1000
Entity
Organization
Contact information
Practice address
1136 S DELANO CT W B201, CHICAGO, IL 60605-3734
(312) 375-1000
(773) 326-0725
Mailing address
1136 S DELANO CT W B201, CHICAGO, IL 60605-3734
(312) 375-1000
(773) 326-0725
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-031395
IL
103K00000X
Behavior Analyst
1-118506
IL
103TC0700X
Clinical Psychologist
071-004663
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
071-004663
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1-031395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114025434
LCP, ILLINOIS
IL
01
—
1407069941
BEHAVIORAL ANALYST
—
Enumeration date
05/18/2011
Last updated
09/18/2019
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