Individual
MARCIA LAWRENCE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5000 OAKTON ST APT 308, SKOKIE, IL 60077-2979
(847) 975-0433
Mailing address
6033 N SHERIDAN RD APT 19M, CHICAGO, IL 60660-3026
(847) 975-0433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
IL
103K00000X
Behavior Analyst
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
04/20/2020
Last updated
04/04/2023
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