Organization
EARLY INTERVENTION FOR AUTISM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JANE MIHM BCBA (CLINICAL DIRECTOR)
(847) 915-0164
Entity
Organization
Contact information
Practice address
2452 VIOLET ST, GLENVIEW, IL 60026-8032
(847) 915-0164
Mailing address
2452 VIOLET ST, GLENVIEW, IL 60026-8032
(847) 915-0164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7063
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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