Organization
ACADIA PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA L JAROS (BCBA)
(224) 716-5033
Entity
Organization
Contact information
Practice address
1015 N CORPORATE CIR STE A, GRAYSLAKE, IL 60030-7813
(224) 716-5033
(224) 643-4126
Mailing address
36880 N DEER TRAIL DR, LAKE VILLA, IL 60046-6731
(247) 165-0332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
05/09/2023
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