| NPI | 1205689890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINESHA D JOHNSON CEO 773-449-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |