Organization
BRIDGES ACADEMY, LLC
Active
Other names
Indivisual Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME L CROOKS MA, BCBA (EXECUTIVE DIRECTOR)
(773) 332-7382
Entity
Organization
Contact information
Practice address
5911 N LEADER AVE, CHICAGO, IL 60646-5625
(773) 332-7382
(773) 305-0915
Mailing address
5911 N LEADER AVE, CHICAGO, IL 60646-5625
(773) 332-7382
(773) 305-0915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10-7278
IL
251S00000X
Community/Behavioral Health Agency
Primary
10-7278
IL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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