| Blue Light Aba Consultants | |
|
1100 E Woodfield Rd Suite 140 Schaumburg IL 60173-5116 | |
| (847) 278-1885 | |
| (630) 635-2496 |
| Full Name | Blue Light Aba Consultants |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1100 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Mir Joffrey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8472781885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Light Aba Consultants 1100 E Woodfield Rd Suite 140 Schaumburg IL 60173-5116 Ph: (847) 278-1885 | Blue Light Aba Consultants 1100 E Woodfield Rd Suite 140 Schaumburg IL 60173-5116 Ph: (847) 278-1885 |
| NPI Number | 1023476322 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023476322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 036122339 (Illinois) | Primary |
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