Indivisual Aba

NPI 1194168823 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1194168823
Enumeration Date 04/11/2013
Last Updated 04/11/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANGELA ANGELA
Position BEHAVIOR SPECIALIST
Phone (217) 317-9688
Fax
Practice Location
1984 SEDGEGRASS TRL
AURORA IL, 60504-4329, US
Phone (217) 317-9688
Fax
Business Location
1984 SEDGEGRASS TRL
AURORA IL, 60504-4329, US
Phone (217) 317-9688
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1194168823 NPI Number
 

According to our database, Indivisual Aba NPI is 1194168823, taxonomy code is 390200000X Indivisual Aba physically located at 1984 Sedgegrass Trl, Aurora IL, 60504-4329. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1194168823 NPI number is provided on an as is basis without warranty of any kind. 1194168823 is maintained by the National Plan & Provider Enumeration System. The contents of Indivisual Aba are for informational purposes only.