| NPI | 1841830338 |
|---|---|
| Former Legal Business Name | PEAK PERFORMANCE BIOFEEDBACK |
| Entity Type | Organization |
| Authorized Contact | NAHRAIN D TAVOLACCI Licensed Clinical Psychologist 630-803-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103G00000X Clinical Neuropsychologist | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-03-09 |