Organization
THE HOPE SCHOOL DBA THE AUTISM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH GRANNAN (CLINIC DIRECTOR)
(217) 588-7622
Entity
Organization
Contact information
Practice address
5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
(217) 588-7622
Mailing address
5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
(217) 588-7622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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