| NPI | 1891088290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE PELLECCHIA Board Certified Behavior Analyst 312-375-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-031395) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-118506) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071-004663) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 1-031395) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071-004663) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2019-09-18 |