| Applied Behavioral Coaching Moms, Inc. | |
|
4043 S Route 59 Naperville IL 60564-5802 | |
| (630) 299-4909 | |
| (630) 420-8957 |
| Full Name | Applied Behavioral Coaching Moms, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4043 S Route 59, Naperville, Illinois |
| Authorized Official Name and Position | Dana Jean Burke (SECRETARY/TREASURER) |
| Authorized Official Contact | 6302994909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavioral Coaching Moms, Inc. 4043 State Route 59 Naperville IL 60564 Ph: (630) 299-4909 | Applied Behavioral Coaching Moms, Inc. 4043 S Route 59 Naperville IL 60564-5802 Ph: (630) 299-4909 |
| NPI Number | 1245585074 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245585074 | NPI | - | NPPES |
| 1235302449 | Other | PRIVATE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-12-11491 (Illinois) | Primary |
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