Individual
TAYLOR M DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8200 185TH ST, TINLEY PARK, IL 60487-9232
(708) 580-0440
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49677
IL
Other
Enumeration date
05/19/2021
Last updated
01/10/2024
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