Autism Support Chicago LLC

NPI #1033730791 in Joliet, Illinois

Provider Information

NPI Number: 1033730791
Entity Type: Organization
Organization Name: Autism Support Chicago LLC
Primary Specialty: Behavior Analyst
Enumeration Date: May 4, 2020
Last Updated: May 6, 2020

Practice Location

Address: 401 BURKE DR
City: Joliet
State: Illinois
ZIP Code: 60433-2113
Phone: (815) 630-6408

Authorized Official

Name: LESLIE LUCKEY
Title: CREDENTIALING/BILLING MANAGER
Phone: (765) 860-7198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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