Provider Demographics
NPI:1174393276
Name:NABATI BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:NABATI BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:NABATKHORIAN
Authorized Official - Last Name:ISKOW
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LPC
Authorized Official - Phone:703-587-0072
Mailing Address - Street 1:3200 N LAKE SHORE DR APT 1701
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3902
Mailing Address - Country:US
Mailing Address - Phone:703-587-0072
Mailing Address - Fax:
Practice Address - Street 1:3200 N LAKE SHORE DR APT 1701
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3902
Practice Address - Country:US
Practice Address - Phone:703-587-0072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health