Behavioral Services Of Southern Illinois Inc. | |
7 Blackberry Ln Carbondale IL 62903-8317 | |
(618) 303-9282 | |
(618) 319-1122 |
Full Name | Behavioral Services Of Southern Illinois Inc. |
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Speciality | Behavior Analyst |
Location | 7 Blackberry Ln, Carbondale, Illinois |
Authorized Official Name and Position | Meagan Elizabeth Causey (PRESIDENT) |
Authorized Official Contact | 6183039282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Services Of Southern Illinois Inc. 7 Blackberry Ln Carbondale IL 62903-8317 Ph: (618) 303-9282 | Behavioral Services Of Southern Illinois Inc. 7 Blackberry Ln Carbondale IL 62903-8317 Ph: (618) 303-9282 |
NPI Number | 1124516950 |
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Provider Enumeration Date | 04/26/2018 |
Last Update Date | 04/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124516950 | NPI | - | NPPES |
2017015574 | Other | MO | STATE OF MISSOURI |
1-10-7418 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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