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Organization

PEBBLEBROOK PEDIATRIC BEHAVIORAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER D RICE BCBA (OWNER/BCBA)
(847) 752-0046
Entity
Organization

Contact information

Practice address
1301 PYOTT RD STE 106, LAKE IN THE HILLS, IL 60156-9796
(847) 752-0046
(224) 678-9886
Mailing address
1301 PYOTT RD STE 106, LAKE IN THE HILLS, IL 60156-9796
(847) 752-0046
(224) 678-9886

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27622
IL

Other

Enumeration date
11/02/2017
Last updated
08/19/2021
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