Organization
AMYS ABA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUZAN BARKHO (PROGRAM DIRECTOR)
(847) 763-9333
Entity
Organization
Contact information
Practice address
5250 OLD ORCHARD RD STE 300, SKOKIE, IL 60077-4462
(800) 975-6164
Mailing address
6859 CHURCH ST, MORTON GROVE, IL 60053-2336
(847) 763-9333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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