| Operant: Speech, Language, And Behavior Therapy Llc | |
|
945 Blueberry Hill Rd Cobden IL 62920-3443 | |
| (618) 697-2138 | |
| Not Available |
| Full Name | Operant: Speech, Language, And Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 945 Blueberry Hill Rd, Cobden, Illinois |
| Authorized Official Name and Position | Kirsten Lyn Schaper (OWNER) |
| Authorized Official Contact | 6186972138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operant: Speech, Language, And Behavior Therapy Llc 945 Blueberry Hill Rd Cobden IL 62920-3443 Ph: (618) 697-2138 | Operant: Speech, Language, And Behavior Therapy Llc 945 Blueberry Hill Rd Cobden IL 62920-3443 Ph: (618) 697-2138 |
| NPI Number | 1336511880 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 11/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336511880 | NPI | - | NPPES |
| 496661150001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | 146007980 (Illinois) | Secondary |
Adapt Of Illinois, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 S Front St, Cobden, IL 62920 Phone: 877-553-9440 Fax: 312-553-9441 |