Organization
DYNAMIC PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET BIANCO (OWNER/ BEHAVIORAL ANALYST)
(609) 502-8026
Entity
Organization
Contact information
Practice address
1221 N LA SALLE DR UNIT 2F, CHICAGO, IL 60610-2945
(609) 502-8026
Mailing address
1221 N LA SALLE DR UNIT 2F, CHICAGO, IL 60610-2945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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