Provider Demographics
NPI:1972720498
Name:ACKLES, BARBARA ANN (MA, LCPC, BCBA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:ACKLES
Suffix:
Gender:F
Credentials:MA, LCPC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 S HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1644
Mailing Address - Country:US
Mailing Address - Phone:847-454-9290
Mailing Address - Fax:847-454-9290
Practice Address - Street 1:126 S HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1644
Practice Address - Country:US
Practice Address - Phone:847-454-9290
Practice Address - Fax:847-454-9290
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health