Mebe Illinois

NPI #1801494364 in Lake Forest, Illinois

Provider Information

NPI Number: 1801494364
Entity Type: Organization
Organization Name: Mebe Illinois
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 825 S WAUKEGAN RD STE A8
City: Lake Forest
State: Illinois
ZIP Code: 60045-2665
Phone: (619) 795-9925

Authorized Official

Name: ESTEBAN GONZALEZ
Title: CONTRACTING AND CREDENTIALING SPEC
Phone: (619) 323-0832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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