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Organization

ASPB THERAPY PATHWAYS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIYA OLSON (OWNER)
(630) 699-7625
Entity
Organization

Contact information

Practice address
800 W 5TH AVE, STE 104, NAPERVILLE, IL 60563-8965
(630) 548-0749
(630) 548-0749
Mailing address
800 W 5TH AVE, STE 104, NAPERVILLE, IL 60563-8965
(630) 548-0749

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
2080P0006X
Developmental - Behavioral Pediatrics Physician
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
12/10/2019
Last updated
12/10/2019
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