Organization
STARLIGHT AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA HASAN BCBA (CEO)
(708) 275-6104
Entity
Organization
Contact information
Practice address
16730 LEE ST, ORLAND PARK, IL 60467-8709
(708) 275-6104
Mailing address
16730 LEE ST, ORLAND PARK, IL 60467-8709
(708) 275-6104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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