Organization
MISSING PIECE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH DIAZ M.S., BCBA (CEO, CLINICAL DIRECTOR AND BCBA)
(773) 354-1511
Entity
Organization
Contact information
Practice address
115 N OAK ST, GLENWOOD, IL 60425-1352
(773) 354-1511
Mailing address
115 N OAK ST, GLENWOOD, IL 60425-1352
(773) 354-1511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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