Organization
BEHAVIOR MODIFICATION CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ERIC STRAUBE PH.D. (PSYCHOLOGIST)
(815) 385-5903
Entity
Organization
Contact information
Practice address
5435 BULL VALLEY RD, SUITE 106, MCHENRY, IL 60050-7434
(815) 385-5903
Mailing address
5435 BULL VALLEY RD, SUITE 106, MCHENRY, IL 60050-7434
(815) 385-5903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180001146
IL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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