| Maxville & Associates | |
|
5900 Galli Ln Collinsville IL 62234-5836 | |
| (573) 864-9743 | |
| (636) 245-2102 |
| Full Name | Maxville & Associates |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5900 Galli Ln, Collinsville, Illinois |
| Authorized Official Name and Position | Dale Allen Maxville (OWNER) |
| Authorized Official Contact | 5738649743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxville & Associates 5900 Galli Ln Collinsville IL 62234-5836 Ph: (573) 864-9743 | Maxville & Associates 5900 Galli Ln Collinsville IL 62234-5836 Ph: (573) 864-9743 |
| NPI Number | 1114613296 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114613296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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