Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Funtastic Gymnastic LLC

Organization Behavior Analyst · NPI 1396078275

Funtastic Gymnastic LLC is a Behavior Analyst in Lombard, Illinois. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

991 Oak Creek Dr
Lombard, IL 60148-6408
Phone: (847) 465-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1396078275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jackson — Ceo · (224) 509-5608
Other names The Autism Therapy Group
NPI enumeratedSeptember 10, 2009
Last updated in NPPESMay 10, 2025
Certification dateMay 10, 2025
Mailing address991 Oak Creek Dr, Lombard, IL 60148-6408

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