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Organization

ABA CONSULTATION & IN-HOME THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AUTUMN NICOLE MCKEEL (OWNER/PRESIDENT)
(715) 703-0573
Entity
Organization

Contact information

Practice address
706 E CAMPUS DR, CARBONDALE, IL 62901-3861
(715) 703-0573
Mailing address
706 E CAMPUS DR, CARBONDALE, IL 62901-3861
(715) 703-0573

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/16/2012
Last updated
05/16/2012
About Stedi
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