Organization
AUTISM INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M CROSS D.T. (DEVELOPMENTAL THERAPIST)
(630) 886-8375
Entity
Organization
Contact information
Practice address
3921 N MOZART ST, CHICAGO, IL 60618-3619
(630) 886-8375
Mailing address
3921 N MOZART ST, CHICAGO, IL 60618-3619
(630) 886-8375
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TC92450503P
IL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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