Organization
AUTISMCHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COLE MBA, MAP, BCBA, RBT (BAHAVIORAL HEALTH TECHNICIAN)
(773) 595-5168
Entity
Organization
Contact information
Practice address
8035 S WABASH AVE, CHICAGO, IL 60619-3516
(773) 595-5168
Mailing address
8035 S WABASH AVE, CHICAGO, IL 60619-3516
(773) 595-5168
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
103K00000X
IL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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