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Organization

ELEMENTAL ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE HARVEY M.S., BCBA, LBA (OWNER/CLINICAL DIRECTOR/BCBA)
(708) 828-3454
Entity
Organization

Contact information

Practice address
1510 S MULFORD RD, ROCKFORD, IL 61108-6725
(708) 828-3454
Mailing address
1510 S MULFORD RD, ROCKFORD, IL 61108-6725
(708) 828-3454

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/29/2026
Last updated
05/29/2026
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