Individual
ANNE NANNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Mailing address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42418
IL
Other
Enumeration date
07/06/2020
Last updated
01/09/2023
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