Individual
MADELINE KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(855) 528-8476
Mailing address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(855) 528-8476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51231
IL
106S00000X
Behavior Technician
RBT1848602
—
Other
Enumeration date
02/03/2018
Last updated
11/04/2022
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