Organization
MONARCH AUTISM THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MARTIN (CFO)
(815) 603-8637
Entity
Organization
Contact information
Practice address
3611 INDIAN HEAD LN, JOLIET, IL 60435-1590
(815) 603-8637
Mailing address
3611 INDIAN HEAD LN, JOLIET, IL 60435-1590
(815) 603-8637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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