Provider Demographics
NPI:1154965937
Name:ACE BEHAVIOR SOLUTIONS, INC
Entity type:Organization
Organization Name:ACE BEHAVIOR SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MROTEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-592-2653
Mailing Address - Street 1:13071 DUNMOOR DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-2741
Mailing Address - Country:US
Mailing Address - Phone:773-592-2653
Mailing Address - Fax:
Practice Address - Street 1:13071 DUNMOOR DR
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-2741
Practice Address - Country:US
Practice Address - Phone:773-592-2653
Practice Address - Fax:708-479-9078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty