Fern Leaf Aba, LLC

NPI #1891399671 in Peoria, Illinois

Provider Information

NPI Number: 1891399671
Entity Type: Organization
Organization Name: Fern Leaf Aba, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 23, 2020
Last Updated: Jan 16, 2021

Practice Location

Address: 5739 W MARTINDALE LANE
City: Peoria
State: Illinois
ZIP Code: 61615-9669
Phone: (309) 253-1683

Authorized Official

Name: ANNA E CRONIN, BCBA
Title: OWNER & DIRECTOR; BEHAVIOR ANALYST
Phone: (309) 253-1683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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