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Organization

INSTRUCTIONAL ABA CONSULTANTS WAIVER SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JESSICA K TOPALOV BCBA (OWNER)
(630) 441-5077
Entity
Organization

Contact information

Practice address
1260 IROQUOIS AVE, #306, NAPERVILLE, IL 60563-1689
(630) 441-5077
(331) 229-8843
Mailing address
1260 IROQUOIS AVE, #306, NAPERVILLE, IL 60563-1689
(630) 441-5077
(331) 229-8843

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1119270
IL

Other

Enumeration date
11/05/2015
Last updated
11/05/2015
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