Bright Minds Consulting Llc | |
29854 Oak Meadow Dr Kingston IL 60145-8538 | |
(815) 319-3555 | |
(815) 895-2270 |
Full Name | Bright Minds Consulting Llc |
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Speciality | Behavior Analyst |
Location | 29854 Oak Meadow Dr, Kingston, Illinois |
Authorized Official Name and Position | Audrey Baenziger (OWNER) |
Authorized Official Contact | 8153193555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bright Minds Consulting Llc 29854 Oak Meadow Dr Kingston IL 60145-8538 Ph: (815) 319-3555 | Bright Minds Consulting Llc 29854 Oak Meadow Dr Kingston IL 60145-8538 Ph: (815) 319-3555 |
NPI Number | 1356165450 |
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Provider Enumeration Date | 11/14/2024 |
Last Update Date | 11/14/2024 |
Certification Date | 11/14/2024 |
Identifier | Type | State | Issuer |
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1356165450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |