Individual
MRS. SUSAN JEAN FINIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3300 ELLENDALE DR, SPRINGFIELD, IL 62704-5518
(909) 645-0729
Mailing address
3300 ELLENDALE DR, SPRINGFIELD, IL 62704-5518
(909) 645-0729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20612
IL
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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