Organization
MOMENTUM BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MILLER BCBA (OWNER)
(708) 227-0793
Entity
Organization
Contact information
Practice address
1999 INDIANA AVE, LANSING, IL 60438-2101
(708) 227-0793
Mailing address
1999 INDIANA AVE, LANSING, IL 60438-2101
(708) 227-0793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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