Provider Demographics
NPI:1235866997
Name:AWARE THERAPY LLC
Entity type:Organization
Organization Name:AWARE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHENGZHAN
Authorized Official - Middle Name:DION
Authorized Official - Last Name:LUO
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA
Authorized Official - Phone:650-283-6990
Mailing Address - Street 1:1508 CLARKSON CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6796
Mailing Address - Country:US
Mailing Address - Phone:650-283-6990
Mailing Address - Fax:
Practice Address - Street 1:5400 PATTON DR UNIT 3C
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4000
Practice Address - Country:US
Practice Address - Phone:650-283-6990
Practice Address - Fax:630-526-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty