Organization
AR KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SOOMRO (OWNER)
(309) 431-1903
Entity
Organization
Contact information
Practice address
4623 EBERLY AVE, BROOKFIELD, IL 60513-2292
(309) 868-8776
Mailing address
4623 EBERLY AVE, BROOKFIELD, IL 60513-2292
(309) 868-8776
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
09/25/2023
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