| Acadia Pediatric Therapy | |
|
1015 N Corporate Cir Ste A Grayslake IL 60030-7813 | |
| (224) 716-5033 | |
| (224) 643-4126 |
| Full Name | Acadia Pediatric Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1015 N Corporate Cir Ste A, Grayslake, Illinois |
| Authorized Official Name and Position | Deana L Jaros (BCBA) |
| Authorized Official Contact | 2247165033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadia Pediatric Therapy 36880 N Deer Trail Dr Lake Villa IL 60046-6731 Ph: (247) 165-0332 | Acadia Pediatric Therapy 1015 N Corporate Cir Ste A Grayslake IL 60030-7813 Ph: (224) 716-5033 |
| NPI Number | 1982316006 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982316006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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