| Behavioral Services Of Southern Illinois Inc. | |
|
7 Blackberry Ln Carbondale IL 62903-8317 | |
| (618) 303-9282 | |
| (618) 319-1122 |
| Full Name | Behavioral Services Of Southern Illinois Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7 Blackberry Ln, Carbondale, Illinois |
| Authorized Official Name and Position | Meagan Elizabeth Causey (PRESIDENT) |
| Authorized Official Contact | 6183039282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Services Of Southern Illinois Inc. 7 Blackberry Ln Carbondale IL 62903-8317 Ph: (618) 303-9282 | Behavioral Services Of Southern Illinois Inc. 7 Blackberry Ln Carbondale IL 62903-8317 Ph: (618) 303-9282 |
| NPI Number | 1124516950 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124516950 | NPI | - | NPPES |
| 2017015574 | Other | MO | STATE OF MISSOURI |
| 1-10-7418 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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