| Momentum Behavior Services Llc | |
|
1999 Indiana Ave Lansing IL 60438-2101 | |
| (708) 227-0793 | |
| Not Available |
| Full Name | Momentum Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1999 Indiana Ave, Lansing, Illinois |
| Authorized Official Name and Position | Melinda Miller (OWNER) |
| Authorized Official Contact | 7082270793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Behavior Services Llc 1999 Indiana Ave Lansing IL 60438-2101 Ph: (708) 227-0793 | Momentum Behavior Services Llc 1999 Indiana Ave Lansing IL 60438-2101 Ph: (708) 227-0793 |
| NPI Number | 1780222901 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780222901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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