| Green Pediatrics Behavioral Services Llc | |
|
4606 Fargo Ave Skokie IL 60076-3946 | |
| (312) 881-9044 | |
| Not Available |
| Full Name | Green Pediatrics Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4606 Fargo Ave, Skokie, Illinois |
| Authorized Official Name and Position | Teba Aijaz (FOUNDER AND CEO) |
| Authorized Official Contact | 3128819044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Pediatrics Behavioral Services Llc 4606 Fargo Ave Skokie IL 60076-3946 Ph: () - | Green Pediatrics Behavioral Services Llc 4606 Fargo Ave Skokie IL 60076-3946 Ph: (312) 881-9044 |
| NPI Number | 1245919935 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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