| Tag Aba Llc | |
|
5024 W Patterson Ave 2r Chicago IL 60641-3413 | |
| (810) 513-7178 | |
| Not Available |
| Full Name | Tag Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5024 W Patterson Ave, Chicago, Illinois |
| Authorized Official Name and Position | Katrina Jones (OWNER/BCBA) |
| Authorized Official Contact | 8105137178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tag Aba Llc 5024 W Patterson Ave 2r Chicago IL 60641-3413 Ph: (810) 513-7178 | Tag Aba Llc 5024 W Patterson Ave 2r Chicago IL 60641-3413 Ph: (810) 513-7178 |
| NPI Number | 1316374937 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 09/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316374937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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