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Individual
RAE BARDELL
Active
Individual
RAE BARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LCSWM
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30939
—
103K00000X
Behavior Analyst
152001169
IL
1041C0700X
Clinical Social Worker
149.014536
IL
1041S0200X
School Social Worker
—
—
Other
Enumeration date
05/30/2006
Last updated
10/29/2025
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