| Brown Bear Early Intervention Llc | |
|
354 Winona St Park Forest IL 60466-1520 | |
| (541) 257-7028 | |
| Not Available |
| Full Name | Brown Bear Early Intervention Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 354 Winona St, Park Forest, Illinois |
| Authorized Official Name and Position | Ramish Mohammad (OWNER) |
| Authorized Official Contact | 5412577028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Bear Early Intervention Llc 1407 W 15th St Apt 214 Chicago IL 60608-2280 Ph: (541) 257-7028 | Brown Bear Early Intervention Llc 354 Winona St Park Forest IL 60466-1520 Ph: (541) 257-7028 |
| NPI Number | 1043017700 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043017700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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