Organization
BEHAVIOR INTERVENTION & ORGANIZATIONAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA ROBINSON BCBA (OWNER)
(312) 497-9876
Entity
Organization
Contact information
Practice address
828 HANNAH AVE, FOREST PARK, IL 60130
(708) 257-6074
Mailing address
828 HANNAH AVE, FOREST PARK, IL 60130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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