Organization
NORTH SHORE BEHAVIOR CORP
Active
Other names
North Shore Behavior
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME CROOKS MA, BCBA (CEO)
(773) 502-3361
Entity
Organization
Contact information
Practice address
1525 LAKE COOK RD APT 155, DEERFIELD, IL 60015-5296
(773) 502-3361
Mailing address
1525 LAKE COOK RD APT 155, DEERFIELD, IL 60015-5296
(773) 502-3361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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