| NPI | 1356688923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANN MCNEIL Owner 219-472-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1073892) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 0082557) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |