| Crossing The Spectrum, Llc | |
|
192 Dundee Rd Inverness IL 60010-5254 | |
| (312) 929-6713 | |
| Not Available |
| Full Name | Crossing The Spectrum, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 192 Dundee Rd, Inverness, Illinois |
| Authorized Official Name and Position | Susi Santoso (BCBA) |
| Authorized Official Contact | 3129296713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossing The Spectrum, Llc 192 Dundee Rd Inverness IL 60010-5254 Ph: (312) 929-6713 | Crossing The Spectrum, Llc 192 Dundee Rd Inverness IL 60010-5254 Ph: (312) 929-6713 |
| NPI Number | 1346973864 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346973864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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