| NPI | 1548071574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA IMGRUND Owner 630-240-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |