| NPI | 1699145557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MARTIN CFO 815-603-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |