Organization
BEHAVIOR ANALYSIS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDAYO MOJEED ADENEKAN BCBA (PRESIDENT)
(314) 740-5639
Entity
Organization
Contact information
Practice address
109 COUNTRY CLUB EST, SALEM, IL 62881-3631
(314) 740-5639
Mailing address
109 COUNTRY CLUB EST, SALEM, IL 62881-3631
(314) 740-5639
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/23/2021
Last updated
07/21/2021
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