Individual
OLIVIA CAROLINE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 726-1416
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 726-1416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22657
MI
Other
Enumeration date
01/04/2016
Last updated
04/10/2023
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