| NPI | 1306550413 |
|---|---|
| Former Legal Business Name | TY LOVE BEHAVIORAL CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | MARISSA JO LUMPKIN Executive Director 217-577-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-12-20 |