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Individual

JACEY LASHA WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2475 W MONROE ST, SPRINGFIELD, IL 62704-1439
(888) 515-1793
Mailing address
2475 W MONROE ST, SPRINGFIELD, IL 62704-1439
(888) 515-1793

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
IL
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
03/18/2026
Last updated
03/25/2026
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