Provider Demographics
NPI:1942837380
Name:POWERHOUSE ABA, LLC
Entity type:Organization
Organization Name:POWERHOUSE ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-283-2962
Mailing Address - Street 1:444 E ROOSEVELT RD STE 310
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4630
Mailing Address - Country:US
Mailing Address - Phone:630-283-2962
Mailing Address - Fax:
Practice Address - Street 1:111 N. ADDISON AVE.
Practice Address - Street 2:UNIT 205
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2862
Practice Address - Country:US
Practice Address - Phone:630-283-2962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty