Organization
ADVANCED THERAPY CLINIC LLC
Active
Other names
Advanced Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADEENA JACOBSON BCBA (OWNER/CLINICIAN)
(917) 882-2744
Entity
Organization
Contact information
Practice address
1701 AVENUE E STE A, BILLINGS, MT 59102-2943
(406) 690-6990
(406) 206-5262
Mailing address
1701 AVENUE E STE A, BILLINGS, MT 59102-2943
(406) 690-6990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/14/2016
Last updated
01/08/2025
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