Individual
CAITLIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19056 HENRY DR, MOKENA, IL 60448-9302
(708) 995-5751
Mailing address
19056 HENRY DR, MOKENA, IL 60448-9302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19003
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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