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Organization

INSTRUCTIONAL ABA CONSULTANTS WAIVER SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA K TOPALOV (CEO)
(630) 601-3151
Entity
Organization

Contact information

Practice address
1975 MC DOWELL RD STE 101, NAPERVILLE, IL 60563-6533
(331) 229-8839
(331) 256-1900
Mailing address
1975 MC DOWELL RD STE 101, NAPERVILLE, IL 60563-6533
(331) 229-8839
(331) 256-1900

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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