| NPI | 1932741733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINESHA DENISE JOHNSON Owner 773-449-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 374U00000X Home Health Aide | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2021-09-22 |