| Behavior On Demand Llc | |
|
2501 Chatham Rd Ste R Springfield IL 62704-4188 | |
| (312) 868-1404 | |
| Not Available |
| Full Name | Behavior On Demand Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2501 Chatham Rd Ste R, Springfield, Illinois |
| Authorized Official Name and Position | Christina Banbury (MEMBER) |
| Authorized Official Contact | 3128681404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior On Demand Llc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (312) 868-1404 | Behavior On Demand Llc 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (312) 868-1404 |
| NPI Number | 1013776350 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013776350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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