Provider Demographics
NPI:1427921485
Name:BEHAVIOR INNOVATION GROUP, LLC
Entity type:Organization
Organization Name:BEHAVIOR INNOVATION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPAROVIC
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:314-477-7590
Mailing Address - Street 1:4317 ALDER PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-7851
Mailing Address - Country:US
Mailing Address - Phone:314-477-7590
Mailing Address - Fax:
Practice Address - Street 1:4317 ALDER PL
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-7851
Practice Address - Country:US
Practice Address - Phone:314-477-7590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty