Organization
SOLID GROUND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INONGE LATANYA MASON-BORDEN (BCBA)
(708) 969-4109
Entity
Organization
Contact information
Practice address
11940 S SPRINGFIELD AVE, ALSIP, IL 60803-1117
(708) 969-4109
Mailing address
11940 S SPRINGFIELD AVE, ALSIP, IL 60803-1117
(708) 969-4109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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