| Vibrant Aba Il Llc | |
|
206 N Randolph St Ste 2 Champaign IL 61820-3976 | |
| (704) 818-0207 | |
| Not Available |
| Full Name | Vibrant Aba Il Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 206 N Randolph St Ste 2, Champaign, Illinois |
| Authorized Official Name and Position | Aron Greenfeld (DIRECTOR) |
| Authorized Official Contact | 5512338603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Aba Il Llc 206 N Randolph St Ste 2 Champaign IL 61820-3976 Ph: (704) 818-0207 | Vibrant Aba Il Llc 206 N Randolph St Ste 2 Champaign IL 61820-3976 Ph: (704) 818-0207 |
| NPI Number | 1104759737 |
|---|---|
| Provider Enumeration Date | 06/04/2026 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104759737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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