| NPI | 1588069306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEATHA HOWEN Office Manager 847-783-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 036111811) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149004898) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149016112) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |