Individual
SIDNEY NEUGEBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16626 W 159TH ST STE 702, LOCKPORT, IL 60441-8019
(708) 792-0162
Mailing address
16626 W 159TH ST STE 702, LOCKPORT, IL 60441-8019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49009
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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