Individual
CHARLA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3450 147TH ST APT 16, MIDLOTHIAN, IL 60445-3049
(618) 509-2548
Mailing address
3450 147TH ST APT 16, MIDLOTHIAN, IL 60445-3049
(618) 509-2548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-51083
IL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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