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 |