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Individual

MRS. CASEY KAYE TRASATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
5454 BURR OAK RD, LISLE, IL 60532-2113
(708) 837-2273
Mailing address
5454 BURR OAK RD, LISLE, IL 60532-2113
(708) 837-2273

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28149
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-17-28149
BACB
Enumeration date
12/08/2016
Last updated
11/09/2020
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