| Behavior Modification Clinic, Ltd. | |
|
5435 Bull Valley Rd Suite 106 Mchenry IL 60050-7434 | |
| (815) 385-5903 | |
| Not Available |
| Full Name | Behavior Modification Clinic, Ltd. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5435 Bull Valley Rd, Mchenry, Illinois |
| Authorized Official Name and Position | Christian Eric Straube (PSYCHOLOGIST) |
| Authorized Official Contact | 8153855903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Modification Clinic, Ltd. 5435 Bull Valley Rd Suite 106 Mchenry IL 60050-7434 Ph: (815) 385-5903 | Behavior Modification Clinic, Ltd. 5435 Bull Valley Rd Suite 106 Mchenry IL 60050-7434 Ph: (815) 385-5903 |
| NPI Number | 1700052305 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700052305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180001146 (Illinois) | Primary |
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