| NPI | 1053840488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE SALAHUDDIN Clinical Director 773-780-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 11624370) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |