Organization
NEUROBEHAVIORAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE REA (SENIOR CLINICAL MANAGER)
(303) 520-0489
Entity
Organization
Contact information
Practice address
2033 MILWAUKEE AVE, SUITE 334, RIVERWOODS, IL 60015-3581
(303) 520-0489
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
05/01/2007
Last updated
04/01/2021
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