| Behavioral Learning, Llc | |
|
1112 Elgin Ave Forest Park IL 60130 | |
| (312) 720-9473 | |
| Not Available |
| Full Name | Behavioral Learning, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1112 Elgin Ave, Forest Park, Illinois |
| Authorized Official Name and Position | Alison B Carris (OWNER) |
| Authorized Official Contact | 3127209473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Learning, Llc 1112 Elgin Ave Forest Park IL 60130-2987 Ph: (312) 720-9473 | Behavioral Learning, Llc 1112 Elgin Ave Forest Park IL 60130 Ph: (312) 720-9473 |
| NPI Number | 1730709858 |
|---|---|
| Provider Enumeration Date | 04/18/2020 |
| Last Update Date | 01/01/2022 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730709858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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