Solid Ground Behavioral Services | |
11940 S Springfield Ave Alsip IL 60803-1117 | |
(708) 969-4109 | |
Not Available |
Full Name | Solid Ground Behavioral Services |
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Speciality | Behavior Analyst |
Location | 11940 S Springfield Ave, Alsip, Illinois |
Authorized Official Name and Position | Inonge Latanya Mason-borden (BCBA) |
Authorized Official Contact | 7089694109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Solid Ground Behavioral Services 11940 S Springfield Ave Alsip IL 60803-1117 Ph: (708) 969-4109 | Solid Ground Behavioral Services 11940 S Springfield Ave Alsip IL 60803-1117 Ph: (708) 969-4109 |
NPI Number | 1932563426 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 04/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932563426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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