Individual
ANDREA KOEPKE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2191 HAMILTON DR, WEST DUNDEE, IL 60118-3500
(608) 669-6974
Mailing address
317 W BLOOMINGDALE RD, ITASCA, IL 60143-2009
(608) 669-6974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
152.001090
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152.001090
IL LICENSE
IL
Enumeration date
07/01/2015
Last updated
08/25/2025
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