Organization
AUTISM BRIGHT START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH NICOLE HIVELY (EXECUTIVE DIRECTOR)
(770) 880-8002
Entity
Organization
Contact information
Practice address
233 S WACKER DR, 84TH FLOOR, CHICAGO, IL 60606-6306
(770) 880-8002
Mailing address
233 S WACKER DR, 84TH FLOOR, CHICAGO, IL 60606-6306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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