Organization
BEHAVIOR CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI ANN BLAYLOCK BCBA (CONSULTANT/PRESIDENT)
(636) 751-3889
Entity
Organization
Contact information
Practice address
1518 MANCHESTER DR, SHILOH, IL 62269-7278
(618) 622-5120
Mailing address
1518 MANCHESTER DR, SHILOH, IL 62269-7278
(636) 751-3889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012001164
MO
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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