| NPI | 1679026330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY BAENZIGER Board Certified Behavior Analyst 815-953-6497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-15-20703) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |