Organization
AUTISM HOME SUPPORT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BUSH (CREDENTIALING MANAGER)
(847) 584-2604
Entity
Organization
Contact information
Practice address
85 REVERE DR STE AA, NORTHBROOK, IL 60062-8001
(844) 247-7222
(847) 584-2604
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(844) 247-7222
(847) 584-2604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/07/2009
Last updated
09/08/2022
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