Provider Demographics
NPI:1013418953
Name:HAVEN, JONATHON GLEN NEUMANN (MS, BCBA)
Entity type:Individual
Prefix:
First Name:JONATHON
Middle Name:GLEN NEUMANN
Last Name:HAVEN
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:JONATHON
Other - Middle Name:
Other - Last Name:NEUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1649 61ST ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2238 W MAYPOLE AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2695
Practice Address - Country:US
Practice Address - Phone:630-537-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-20-44233103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst