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Organization

AMANGO AUTISM CORRELATION FUNCTIONAL BEHAVIOR INTERVENTION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLADYS ANNOR GYABAAH PSYCHOLOGIST (CEO & FOUNDER)
(773) 867-0635
Entity
Organization

Contact information

Practice address
2291 N ENLUND DR UNIT 8, PALATINE, IL 60074-2202
(630) 670-7473
Mailing address
1129 HOMESTEAD RD APT 2A, LA GRANGE PARK, IL 60526-5413
(773) 867-0635

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TF0200X
Forensic Psychologist
106E00000X
Assistant Behavior Analyst
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
12/05/2021
Last updated
01/02/2022
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