Aba Consultation & In-Home Therapy, LLC
Behavior Analyst in Carbondale, IL. Organization (NPI-2).
NPI number1780944355
StatusActive
Last updated in NPPESMay 16, 2012
Details
- NPI
- 1780944355
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Consultation & In-Home Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2012
- Last updated
- May 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
706 E Campus DrCarbondale, IL 62901-3861
Phone 715-703-0573
Mailing address
706 E Campus DrCarbondale, IL 62901-3861
Phone 715-703-0573
Authorized official
Autumn Nicole McKeel
Owner/President
7157030573
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