Consult Autism Inc | |
2 Newbury Ct Lake In The Hills IL 60156-6817 | |
(847) 414-1744 | |
(847) 515-8292 |
Full Name | Consult Autism Inc |
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Speciality | Behavior Analyst |
Location | 2 Newbury Ct, Lake In The Hills, Illinois |
Authorized Official Name and Position | Tracy Kilvinger (PRESIDENT/CONSULTANT) |
Authorized Official Contact | 8474141744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Consult Autism Inc 2 Newbury Ct Lake In The Hills IL 60156-6817 Ph: (847) 414-1744 | Consult Autism Inc 2 Newbury Ct Lake In The Hills IL 60156-6817 Ph: (847) 414-1744 |
NPI Number | 1518280577 |
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Provider Enumeration Date | 03/04/2010 |
Last Update Date | 01/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518280577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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