Organization
BEHAVIORAL SERVICES OF SOUTHERN ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEAGAN ELIZABETH CAUSEY BCBA, LBA (PRESIDENT)
(618) 303-9282
Entity
Organization
Contact information
Practice address
7 BLACKBERRY LN, CARBONDALE, IL 62903-8317
(618) 303-9282
(618) 319-1122
Mailing address
7 BLACKBERRY LN, CARBONDALE, IL 62903-8317
(618) 303-9282
(618) 319-1122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-7418
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
2017015574
STATE OF MISSOURI
MO
Enumeration date
04/26/2018
Last updated
04/26/2018
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