| Ausome Therapy Services | |
|
403 Kays Dr Normal IL 61761-1958 | |
| (309) 662-5050 | |
| (630) 303-9704 |
| Full Name | Ausome Therapy Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 403 Kays Dr, Normal, Illinois |
| Authorized Official Name and Position | Kim Williamson (PRESIDENT/PROGRAM DIRECTOR) |
| Authorized Official Contact | 3096625050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ausome Therapy Services 403 Kays Dr Normal IL 61761-1958 Ph: (309) 662-5050 | Ausome Therapy Services 403 Kays Dr Normal IL 61761-1958 Ph: (309) 662-5050 |
| NPI Number | 1093200628 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093200628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3716 () | Primary |
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