NPI | 1902319916 |
---|---|
Doing Business As | MARVELOUS MINDS INC |
Entity Type | Organization |
Authorized Contact | KYMBERLY FAY LARSON President 630-474-4353 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103K00000X Behavior Analyst | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2017-11-13 |
Last Update Date | 2025-09-23 |