Individual
KATLYN MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
520 N MARSHFIELD AVE, CHICAGO, IL 60622-6731
(312) 243-6097
(312) 243-2076
Mailing address
6416 S LOCKWOOD AVE, CHICAGO, IL 60638-5717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
IL
Enumeration date
04/06/2016
Last updated
04/06/2016
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