Organization
INCLUSIVE CLUB FOR NEURODIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY SCHATZ BCBA (BCBA)
(847) 323-7275
Entity
Organization
Contact information
Practice address
1550 N LAKE SHORE DR APT 16D, CHICAGO, IL 60610-6600
(847) 323-7275
Mailing address
1550 N LAKE SHORE DR APT 16D, CHICAGO, IL 60610-6600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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