| Life Behavior Support | |
|
124 Kraml Dr Burr Ridge IL 60527-0303 | |
| (773) 354-1511 | |
| Not Available |
| Full Name | Life Behavior Support |
|---|---|
| Speciality | Behavior Analyst |
| Location | 124 Kraml Dr, Burr Ridge, Illinois |
| Authorized Official Name and Position | Sarah Diaz (MANGER) |
| Authorized Official Contact | 7733541511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Behavior Support Po Box 602 Glenwood IL 60425-0602 Ph: () - | Life Behavior Support 124 Kraml Dr Burr Ridge IL 60527-0303 Ph: (773) 354-1511 |
| NPI Number | 1548005838 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548005838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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