| Aba Consultation & In-home Therapy, Llc | |
|
706 E Campus Dr Carbondale IL 62901-3861 | |
| (715) 703-0573 | |
| Not Available |
| Full Name | Aba Consultation & In-home Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 706 E Campus Dr, Carbondale, Illinois |
| Authorized Official Name and Position | Autumn Nicole Mckeel (OWNER/PRESIDENT) |
| Authorized Official Contact | 7157030573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Consultation & In-home Therapy, Llc 706 E Campus Dr Carbondale IL 62901-3861 Ph: (715) 703-0573 | Aba Consultation & In-home Therapy, Llc 706 E Campus Dr Carbondale IL 62901-3861 Ph: (715) 703-0573 |
| NPI Number | 1780944355 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780944355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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