Organization
AUTISM HOME SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI BROWN BCBA (BCBA)
(708) 625-6134
Entity
Organization
Contact information
Practice address
2285 S LEXINGTON DR, MT PROSPECT, IL 60056-5899
(708) 625-6134
Mailing address
2285 S LEXINGTON DR, MT PROSPECT, IL 60056-5899
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
11520828
IL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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