Shawnee Behavioral Consultation LLC
NPI #1356611024 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1356611024
- Entity Type
- Organization
- Organization Name
- Shawnee Behavioral Consultation LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Jan 11, 2012
Practice Location
- Address
- 224 BELDEN DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3178
- Phone
- (618) 977-2773
Authorized Official
- Name
- CHRISTINA ANN RUZICKA, M.S., BCBA
- Title
- BOARD CERTIFIED BEHAVIOR ANALYST
- Phone
- (618) 977-2773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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