Springhealth Behavioral Health And Integrated Care Illinois, LLC
Behavior Analyst in Springfield, IL. Organization (NPI-2).
NPI number1063005288
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1063005288
- Entity type
- Organization (NPI-2)
- Legal business name
- Springhealth Behavioral Health And Integrated Care Illinois, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2021
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3921 Pintail Dr Ste BSpringfield, IL 62711-6738
Phone 217-843-0290
Mailing address
805 N Whittington PkwyLouisville, KY 40222-7101
Phone 502-394-2100
Authorized official
Angie Mattingly
Mgr Provider Enrollment
5026307425
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