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Organization
AUTISM HOPE SUPPORT
Active
Organization
AUTISM HOPE SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA WOODS (BEHAVIOR ANALYST)
(816) 607-1097
Entity
Organization
Contact information
Practice address
815 SEWARD APT. 1S, EVANSTON, IL 60202
(816) 607-1097
Mailing address
815 SEWARD ST APT 1S, EVANSTON, IL 60202-2894
(816) 607-1097
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
103K00000X
IL
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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