Individual
KATIE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALNUT ST STE B, ST CHARLES, IL 60174-2766
(630) 286-0026
Mailing address
6N425 WOODHILL LN, ST CHARLES, IL 60175-6152
(847) 453-2956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52841
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/30/2020
Last updated
09/13/2021
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