| The Behavior Squad | |
|
551 Blackberry Ln New Lenox IL 60451-3694 | |
| (847) 525-7605 | |
| Not Available |
| Full Name | The Behavior Squad |
|---|---|
| Speciality | Behavior Analyst |
| Location | 551 Blackberry Ln, New Lenox, Illinois |
| Authorized Official Name and Position | Melanie Rickert (OWNER/CEO) |
| Authorized Official Contact | 8475257605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Squad 551 Blackberry Ln New Lenox IL 60451-3694 Ph: (847) 525-7605 | The Behavior Squad 551 Blackberry Ln New Lenox IL 60451-3694 Ph: (847) 525-7605 |
| NPI Number | 1447964622 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447964622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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