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

Independent with Autism

Organization Behavior Analyst · NPI 1790264927

Independent with Autism is a Behavior Analyst in Lake Forest, Illinois. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

100 Saunders Rd Ste 150
Lake Forest, IL 60045-2526
Phone: (847) 275-9413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Clinical Social Worker Taxonomy 1041C0700X
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1790264927
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMind Body Life
Authorized official Susan Perkowitz — Owner · (847) 274-9413
Other names Independent With Autism; Independent With Autism
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018
Mailing address2549 Waukegan Rd Ste 55, Bannockburn, IL 60015-1569

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