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18324 Ashland Ave Homewood IL 60430-3403 | |
| (224) 801-1717 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18324 Ashland Ave, Homewood, Illinois |
| Authorized Official Name and Position | Lori Salha (BCBA/DIRECTOR) |
| Authorized Official Contact | 2248011717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1265 Rosedale Ln Hoffman Estates IL 60169-2664 Ph: (708) 351-2676 | 18324 Ashland Ave Homewood IL 60430-3403 Ph: (224) 801-1717 |
| NPI Number | 1477081057 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 05/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477081057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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