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Organization

BELGRADE BEHAVIOR CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE BELGRADE-MOSS L.C.P.C., B.C.B.A. (BEHAVIOR ANALYST/OWNER)
(773) 407-1121
Entity
Organization

Contact information

Practice address
4801 W PETERSON AVE, SUITE 403, CHICAGO, IL 60646-5713
(773) 407-1121
(773) 588-3374
Mailing address
4801 W PETERSON AVE, SUITE 403, CHICAGO, IL 60646-5713
(773) 407-1121
(773) 588-3374

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002740
IL
103K00000X
Behavior Analyst
1-09-5011

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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