NPI 1174306468 · live from the CMS NPI Registry
Ar Kids Therapy
Behavior Analyst in Brookfield, IL. National Provider Identifier 1174306468, active.
NPI record
| NPI | 1174306468 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4623 Eberly Ave, Brookfield, IL 60513 |
| Practice phone | 309-868-8776 |
| Enumerated | August 18, 2023 |
| Last updated | September 25, 2023 |
| Authorized official | Ahmed Soomro, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.