Lifelong Access

NPI #1831730092 in Normal, Illinois

Provider Information

NPI Number: 1831730092
Entity Type: Organization
Organization Name: Lifelong Access
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 30, 2019
Last Updated: Aug 27, 2024

Practice Location

Address: 2000 JACOBSSEN DR
City: Normal
State: Illinois
ZIP Code: 61761-6277
Phone: (309) 451-8888

Authorized Official

Name: PATRICK DYCE BAILEY
Title: PROGRAM SUPPORT ADVISOR
Phone: (309) 451-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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