To contact us for services located in Illinois please use the form listed below

Intake Form









Guardian's Name:



















Child's DOB:


Child have an autism diagnosis?:


What insurance do you have?:


Subscriber's Name:


Subscriber's DOB:


Insurance Member ID:


Insurance Group Number:


Provider Services Phone Number:


Which location for the services?:


How did you hear about CBI?:


Why you're seeking services @ CBI:



To contact us for services located in Wisconsin please use the form listed below

  • Mokena Center for Behavior Intervention

    19056 Henry Drive
    Mokena, IL 60448

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    Call Us
    Phone: (708) 995-5751
    Fax: (708) 995-5684

    Hours
    Mon: 7:00AM-6:30PM
    Tue: 7:00AM-6:30PM
    Wed: 7:00AM-6:30PM
    Thu: 7:00AM-6:30PM
    Fri: 7:00AM-6:30PM
    Sat: Closed
    Sun: Closed

  • Olive Tree School House

    36W175 Silver Glen Road
    Saint Charles, IL 60174

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    Call Us
    Phone:: (913) 485-8151

    Hours
    Mon: 9:00AM-3:00PM
    Tue: 9:00AM-3:00PM
    Wed: 9:00AM-3:00PM
    Thu: 9:00AM-3:00PM
    Fri: 9:00AM-3:00PM
    Sat: Closed
    Sun: Closed

  • Illinois Valley Center for Behavior Intervention

    4413 Progress Blvd.
    Peru, IL 61354

    GET DIRECTIONS


    Call Us
    Phone : (708) 995-5751
    Fax: (708) 995-5684

    Hours
    Mon: 7:00AM-6:30PM
    Tue: 7:00AM-6:30PM
    Wed: 7:00AM-6:30PM
    Thu: 7:00AM-6:30PM
    Fri: 7:00AM-6:30PM
    Sat: Closed
    Sun: Closed

  • Fox Valley Center for Behavior Intervention

    3341 W. Main Street, Suite 6
    St. Charles, IL 60174

    GET DIRECTIONS


    Call Us
    Phone: (708) 995-5751
    Fax: (708) 995-5684

    Hours
    Mon: 7:00AM-6:30PM
    Tue: 7:00AM-6:30PM
    Wed: 7:00AM-6:30PM
    Thu: 7:00AM-6:30PM
    Fri: 7:00AM-6:30PM
    Sat: Closed
    Sun: Closed

  • Naperville CBI: Opening 11/1/19

    1272 Bond St
    Naperville, IL 60563 At this address

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  • New Glarus, WI: OPENED!

    11 13th Avenue
    New Glarus, WI 53574

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  • Verona, WI: Coming soon!

    Verona, WI 53593

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  • Barrington, IL: Coming soon!

    Barrington, IL 60010

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