Organization
APPLIED BEHAVIORAL COACHING MOMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA JEAN BURKE M.S.ED., BCBA (SECRETARY/TREASURER)
(630) 299-4909
Entity
Organization
Contact information
Practice address
4043 S ROUTE 59, NAPERVILLE, IL 60564-5802
(630) 299-4909
(630) 420-8957
Mailing address
4043 STATE ROUTE 59, NAPERVILLE, IL 60564
(630) 299-4909
(630) 420-8957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-11491
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235302449
PRIVATE INSURANCE
—
Enumeration date
07/18/2012
Last updated
07/18/2012
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