Individual
KELLY THERESE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5167 W 111TH ST, ALSIP, IL 60803-6021
(773) 524-2551
Mailing address
5167 W 111TH ST, ALSIP, IL 60803-6021
(512) 458-0260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
01/24/2025
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