Behavior Modification Clinic, Ltd. in Mchenry - Community/behavioral Health
Behavior Modification Clinic, Ltd. - NPI 1700052305
Behavior Modification Clinic, Ltd. is a Community/behavioral Health in Mchenry, Illinois. Behavior Modification Clinic, Ltd. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Behavior Modification Clinic, Ltd. is 1700052305. The last update date is 2008-05-02.
Behavior Modification Clinic, Ltd.'s current location address is 5435 Bull Valley Rd, Mchenry, Illinois. You can contact this provider via phone number 8153855903. The mailing address for Behavior Modification Clinic, Ltd. is 5435 Bull Valley Rd, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Behavior Modification Clinic, Ltd. |
|---|---|
| Address | 5435 Bull Valley Rd, Mchenry, Illinois |
| Phone Number | 8153855903 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Straube Eric Christian |
| Credentials | PH.D. |
| Telephone Number | 8153855903 |
NPI Number Detail
| NPI Number | 1700052305 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 5435 Bull Valley Rd |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600507434 |
| Phone Number | 8153855903 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 180001146 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Behavior Modification Clinic, Ltd.'s unique identification number?
The Behavior Modification Clinic, Ltd. has been assigned the NPI (National Provider Identifier) Number 1700052305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Behavior Modification Clinic, Ltd. is physically located?
The Behavior Modification Clinic, Ltd. is physically situated at the following address: 5435 Bull Valley Rd, Mchenry, IL, 600507434.
What is Behavior Modification Clinic, Ltd.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Behavior Modification Clinic, Ltd. is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
When did Behavior Modification Clinic, Ltd. receive its 1700052305 assignment?
The Behavior Modification Clinic, Ltd. was assigned its 1700052305 on 2008-05-02, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Behavior Modification Clinic, Ltd. most recently updated or revised?
The details related to Behavior Modification Clinic, Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2008-05-02.
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