| NPI | 1275912156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SALHA Bcba 708-351-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-13-14600) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2025-05-09 |