| Missing Piece Behavioral Services, Llc | |
|
115 N Oak St Glenwood IL 60425-1352 | |
| (773) 354-1511 | |
| Not Available |
| Full Name | Missing Piece Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 115 N Oak St, Glenwood, Illinois |
| Authorized Official Name and Position | Sarah Diaz (CEO, CLINICAL DIRECTOR AND BCBA) |
| Authorized Official Contact | 7733541511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missing Piece Behavioral Services, Llc 115 N Oak St Glenwood IL 60425-1352 Ph: (773) 354-1511 | Missing Piece Behavioral Services, Llc 115 N Oak St Glenwood IL 60425-1352 Ph: (773) 354-1511 |
| NPI Number | 1225899537 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225899537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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