Organization
BLUE LIGHT ABA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIR JOFFREY M.D (MEDICAL DIRECTOR)
(847) 278-1885
Entity
Organization
Contact information
Practice address
1100 E WOODFIELD RD, SUITE 140, SCHAUMBURG, IL 60173-5116
(847) 278-1885
(630) 635-2496
Mailing address
1100 E WOODFIELD RD, SUITE 140, SCHAUMBURG, IL 60173-5116
(847) 278-1885
(630) 635-2496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
036122339
IL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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