FUNTASTIC GYMNASTIC LLC
NPI 1396078275
Behavior Analyst in Lombard, IL

Q: What is Funtastic Gymnastic LLC's NPI number?

The NPI number for Funtastic Gymnastic LLC is 1396078275. It was assigned to this organization in the NPPES registry on September 10, 2009. The provider is doing business as The Autism Therapy Group.

Q: What is Funtastic Gymnastic LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since September 10, 2009

991 OAK CREEK DR, LOMBARD, IL 60148(847) 465-9556 Get Directions Write a Review

NPPES record last updated: May 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 10, 2025, Mar 7, 2019, Mar 19, 2018 and 2 more (5 updates tracked since 2017).

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About Funtastic Gymnastic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNTASTIC GYMNASTIC LLC (NPI 1396078275), doing business as The Autism Therapy Group, is a healthcare organization registered as a behavior analyst in Lombard, Illinois and active in the NPI registry since September 2009. The organization lists Mark Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396078275

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameFUNTASTIC GYMNASTIC LLC

Location Address991 OAK CREEK DRLombard, IL 60148-6408

Mailing Address991 Oak Creek DrLombard, IL 60148-6408 · (847) 465-9556 · Fax (847) 465-9621

Phone(847) 465-9556

Organization SubpartNo

Authorized OfficialMark JacksonCeo · (224) 509-5608

Enumeration DateSeptember 10, 2009

Last NPPES UpdateMay 10, 20255 updates tracked since enumeration

NPPES CertifiedMay 10, 2025

✔ NPI 1396078275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

991 OAK CREEK DR, Lombard, IL 60148

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Other Names 1

Doing Business AsThe Autism Therapy Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYSETTE GAMEZ

Behavior Technician