| Bright Minds Consulting Llc | |
|
29854 Oak Meadow Dr Kingston IL 60145-8538 | |
| (815) 319-3555 | |
| (815) 895-2270 |
| Full Name | Bright Minds Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 29854 Oak Meadow Dr, Kingston, Illinois |
| Authorized Official Name and Position | Audrey Baenziger (OWNER) |
| Authorized Official Contact | 8153193555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Minds Consulting Llc 29854 Oak Meadow Dr Kingston IL 60145-8538 Ph: (815) 319-3555 | Bright Minds Consulting Llc 29854 Oak Meadow Dr Kingston IL 60145-8538 Ph: (815) 319-3555 |
| NPI Number | 1356165450 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356165450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |