Organization
TRY LOVE BEHAVIORAL CENTER, LLC
Active
Other names
Ty Love Behavioral Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA JO LUMPKIN BCBA (EXECUTIVE DIRECTOR)
(217) 577-2176
Entity
Organization
Contact information
Practice address
535 MAINE ST STE 13, QUINCY, IL 62301-3950
(217) 577-2176
(888) 216-1181
Mailing address
535 MAINE ST STE 13, QUINCY, IL 62301-3950
(217) 316-6656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35663
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
1-23-69856
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
BACB577742
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
RBT-21-187891
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
01/12/2023
Last updated
12/20/2023
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