| Illinois Applied Behavior Analysis Llc | |
|
205 N Michigan Ave Ste 810 Chicago IL 60601-5902 | |
| (312) 344-3309 | |
| Not Available |
| Full Name | Illinois Applied Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 205 N Michigan Ave Ste 810, Chicago, Illinois |
| Authorized Official Name and Position | Isacc Wieder (CEO) |
| Authorized Official Contact | 3123443309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Applied Behavior Analysis Llc 205 N Michigan Ave Ste 810 Chicago IL 60601-5902 Ph: (312) 344-3309 | Illinois Applied Behavior Analysis Llc 205 N Michigan Ave Ste 810 Chicago IL 60601-5902 Ph: (312) 344-3309 |
| NPI Number | 1598552648 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598552648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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