Provider Demographics
NPI:1982438388
Name:ARTISM BEHAVIOR SERVICES
Entity type:Organization
Organization Name:ARTISM BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTISM SPECIALIST/ BEHAVIORAL COACH
Authorized Official - Prefix:
Authorized Official - First Name:SAKINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-543-3787
Mailing Address - Street 1:21 E 101ST PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-2051
Mailing Address - Country:US
Mailing Address - Phone:312-388-6610
Mailing Address - Fax:
Practice Address - Street 1:746-748 W. 103RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628
Practice Address - Country:US
Practice Address - Phone:312-388-6610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health