Individual
MS. MOLLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1925 S ARCHER AVE, CHICAGO, IL 60616-1618
(312) 554-5578
Mailing address
1925 S ARCHER AVE, CHICAGO, IL 60616-1618
(502) 552-3977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
247704
KY
Other
Enumeration date
08/24/2020
Last updated
11/23/2020
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