Provider Demographics
NPI:1124659198
Name:DREAMCATCHER ABA LLC
Entity type:Organization
Organization Name:DREAMCATCHER ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, QMHP
Authorized Official - Phone:815-931-5687
Mailing Address - Street 1:515 E SOUTHMOR RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-8433
Mailing Address - Country:US
Mailing Address - Phone:815-931-5687
Mailing Address - Fax:
Practice Address - Street 1:515 E SOUTHMOR RD
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-8433
Practice Address - Country:US
Practice Address - Phone:815-931-5687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty