| NPI | 1083238729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE EVONNE HILDEBRAND Board Certified Behavior Analyst 217-617-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |