Funtastic Gymnastic LLC

NPI #1396078275 in Lombard, Illinois

Provider Information

NPI Number: 1396078275
Entity Type: Organization
Organization Name: Funtastic Gymnastic LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 10, 2009
Last Updated: May 10, 2025

Practice Location

Address: 991 OAK CREEK DR
City: Lombard
State: Illinois
ZIP Code: 60148-6408
Phone: (847) 465-9556

Authorized Official

Name: MR. MARK JACKSON
Title: CEO
Phone: (224) 509-5608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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