Individual
TYLER JAMES HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, MT-BC, NMT
Contact information
Practice address
5 REVERE DR, SUITE 120, NORTHBROOK, IL 60062-1566
(844) 247-7222
Mailing address
5 REVERE DR, SUITE 120, NORTHBROOK, IL 60062-1566
(844) 247-7222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23173
—
225A00000X
Music Therapist
10547 - MT-BC
—
Other
Enumeration date
11/18/2013
Last updated
09/26/2016
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