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Organization
THE HOPE SCHOOL DBA THE AUTISM CLINIC
Active
Organization
THE HOPE SCHOOL DBA THE AUTISM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH GRANNAN (CLINIC DIRECTOR)
(217) 588-7622
Entity
Organization
Contact information
Practice address
5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
(217) 588-7622
Mailing address
5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
(217) 588-7622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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