Behavior Consulting, Llc | |
1518 Manchester Dr Shiloh IL 62269-7278 | |
(618) 622-5120 | |
Not Available |
Full Name | Behavior Consulting, Llc |
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Speciality | Behavior Analyst |
Location | 1518 Manchester Dr, Shiloh, Illinois |
Authorized Official Name and Position | Heidi Ann Blaylock (CONSULTANT/PRESIDENT) |
Authorized Official Contact | 6367513889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavior Consulting, Llc 1518 Manchester Dr Shiloh IL 62269-7278 Ph: (636) 751-3889 | Behavior Consulting, Llc 1518 Manchester Dr Shiloh IL 62269-7278 Ph: (618) 622-5120 |
NPI Number | 1801340468 |
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Provider Enumeration Date | 08/11/2016 |
Last Update Date | 08/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801340468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 2012001164 (Missouri) | Primary |
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