Organization
MC ABA IL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL ROOS (COO)
(847) 477-6355
Entity
Organization
Contact information
Practice address
54 TOURNAMENT DR S, HAWTHORN WOODS, IL 60047-8114
(847) 477-6355
Mailing address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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