Evening Star Behavioral Service LLC

NPI #1821866559 in Joliet, Illinois

Provider Information

NPI Number: 1821866559
Entity Type: Organization
Organization Name: Evening Star Behavioral Service LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 12, 2023
Last Updated: Dec 12, 2023

Practice Location

Address: 2405 ESSINGTON RD STE B539
City: Joliet
State: Illinois
ZIP Code: 60435-1200
Phone: (301) 523-6323

Authorized Official

Name: KESHYRA MYERS
Title: REGISTERED AGENT
Phone: (301) 523-6323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Behavior Analyst	103K00000X	Primary

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