| Behavior Momentum Intervention | |
|
19001 Harding Ave Flossmoor IL 60422-1057 | |
| (163) 140-6367 | |
| Not Available |
| Full Name | Behavior Momentum Intervention |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19001 Harding Ave, Flossmoor, Illinois |
| Authorized Official Name and Position | Olayinka Elizabeth Dada (OWNER) |
| Authorized Official Contact | 1631406367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Momentum Intervention 19001 Harding Ave Flossmoor IL 60422-1057 Ph: (163) 140-6367 | Behavior Momentum Intervention 19001 Harding Ave Flossmoor IL 60422-1057 Ph: (163) 140-6367 |
| NPI Number | 1841977436 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841977436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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