Organization
INDIVISUAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME LYNN CROOKS MA, BCBA (FOUNDER/PRESIDENT)
(773) 332-7382
Entity
Organization
Contact information
Practice address
2563 W ARGYLE ST, UNIT 2, CHICAGO, IL 60625-2603
(773) 332-7382
Mailing address
2563 W ARGYLE ST, UNIT 2, CHICAGO, IL 60625-2603
(773) 332-7382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1107278
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790914976
—
IL
Enumeration date
08/31/2011
Last updated
08/31/2011
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