Evening Star Holistic & Behavioral Services LLC

NPI #1891563771 in Joliet, Illinois

Provider Information

NPI Number: 1891563771
Entity Type: Organization
Organization Name: Evening Star Holistic & Behavioral Services LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 19, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 2405 ESSINGTON RD STE B539
City: Joliet
State: Illinois
ZIP Code: 60435-1200
Phone: (708) 691-6249

Authorized Official

Name: BRIAN GALL, BCBA, AWC, RYT
Title: REGISTERED AGENT
Phone: (708) 691-6249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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