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Ama Pediatric Therapy INC

Behavior Analyst in Chicago, IL. Organization (NPI-2).

NPI number1629787957
StatusActive
Last updated in NPPESFeb 6, 2025

Details

NPI
1629787957
Entity type
Organization (NPI-2)
Legal business name
Ama Pediatric Therapy INC
Organization subpart
No
Enumeration date
Nov 15, 2022
Certification date
Feb 6, 2025
Last updated
Feb 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––
252Y00000X Early Intervention Provider Agency––
261QD1600X Clinic/Center, Developmental Disabilities––

Other names

  • Ama Pediatric Therapy Nfp INC (Former Legal Business Name)

Practice location

47 W Polk St Ste G15
Chicago, IL 60605-2768

Phone 312-724-2354

Mailing address

363 E Wacker Dr Unit 3506
Chicago, IL 60601-5815

Phone 734-612-9092

Other practice locations

5050 N Broadway St Ste 112
Chicago, IL 60640-4383

Phone 773-492-5690

Authorized official

Alison Freier
President
7346129092

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