Individual
ADRIAN GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(800) 844-1232
Mailing address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(800) 844-1232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-19-9749
IL
103K00000X
Behavior Analyst
Primary
1-20-45024
IL
106S00000X
Behavior Technician
RBT-16-11731
IL
Other
Enumeration date
10/11/2018
Last updated
10/05/2020
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