Core Therapy, INC,
Behavior Analyst in West Dundee, IL. Organization (NPI-2).
NPI number1861995003
StatusActive
Last updated in NPPESMar 16, 2018
Details
- NPI
- 1861995003
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Therapy, INC,
- Organization subpart
- No
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-17-28527 | IL | Yes |
Practice location
533 S 5th StWest Dundee, IL 60118-2842
Phone 630-621-0414 · Fax 630-961-3499
Mailing address
533 S 5th StWest Dundee, IL 60118-2842
Phone 630-621-0414 · Fax 630-961-3499
Authorized official
Natasha Ann Radnovich
President
6306210414
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