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NPI Code Detail

MEDICARE: ACE BEHAVIOR SOLUTIONS, INC

MEDICARE: ACE BEHAVIOR SOLUTIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1154965937
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE BEHAVIOR SOLUTIONS, INC
Provider Business Mailing Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 773-592-2653
Fax Number :
Provider Business Practice Location Address
First Line : 13071 DUNMOOR DR
Second Line :
City : LEMONT
State : IL
Zip : 60439-2741
Country : US
Telephone Number : 773-592-2653
Fax Number : 708-479-9078
Authorized Official
Title or Position : OWNER
Name : CYNTHIA MROTEK
Credential :
Telephone Number : 773-592-2653
Provider Enumeration Date : 11/04/2019
Last Update Date : 01/30/2020

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Directions to “ACE BEHAVIOR SOLUTIONS, INC ” Practice Location

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