| Impacting Autism, Llc | |
|
1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 | |
| (847) 331-5370 | |
| (847) 202-1150 |
| Full Name | Impacting Autism, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1613 W Colonial Pkwy, Inverness, Illinois |
| Authorized Official Name and Position | Dianna Poulos (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8473315370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impacting Autism, Llc 1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 Ph: (847) 331-5370 | Impacting Autism, Llc 1613 W Colonial Pkwy Suite 200 Inverness IL 60067-4827 Ph: (847) 331-5370 |
| NPI Number | 1740522549 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 07/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740522549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6494 (Illinois) | Primary |
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