| Behavior Analysis Corporation | |
|
109 Country Club Est Salem IL 62881-3631 | |
| (314) 740-5639 | |
| Not Available |
| Full Name | Behavior Analysis Corporation |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 109 Country Club Est, Salem, Illinois |
| Authorized Official Name and Position | Adedayo Mojeed Adenekan (PRESIDENT) |
| Authorized Official Contact | 3147405639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Analysis Corporation 109 Country Club Est Salem IL 62881-3631 Ph: (314) 740-5639 | Behavior Analysis Corporation 109 Country Club Est Salem IL 62881-3631 Ph: (314) 740-5639 |
| NPI Number | 1831775493 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831775493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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