Provider Demographics
NPI:1316783939
Name:MAHA BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:MAHA BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT , FOUNDER AND CLINICAL DI
Authorized Official - Prefix:MS
Authorized Official - First Name:HARINI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRAMOULI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:708-742-8413
Mailing Address - Street 1:7199 S KINGERY HWY # 1071
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5525
Mailing Address - Country:US
Mailing Address - Phone:708-571-9806
Mailing Address - Fax:
Practice Address - Street 1:7S341 AUGUSTA LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9414
Practice Address - Country:US
Practice Address - Phone:708-571-9806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty