| Lifelong Access | |
|
2000 Jacobssen Dr Normal IL 61761-6277 | |
| (309) 451-8888 | |
| (309) 451-8989 |
| Full Name | Lifelong Access |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2000 Jacobssen Dr, Normal, Illinois |
| Authorized Official Name and Position | Patrick Dyce Bailey (PROGRAM SUPPORT ADVISOR) |
| Authorized Official Contact | 3094518888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Access 2000 Jacobssen Dr Normal IL 61761-6277 Ph: (130) 945-1888 | Lifelong Access 2000 Jacobssen Dr Normal IL 61761-6277 Ph: (309) 451-8888 |
| NPI Number | 1831730092 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831730092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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