Individual
STEPHANIE KAE VOLKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
917 SHERWOOD DR STE 201, LAKE BLUFF, IL 60044-2235
(877) 486-4140
Mailing address
2834 LEXINGTON LN, HIGHLAND PARK, IL 60035-1026
(574) 301-9315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35569
IN
Other
Enumeration date
02/12/2019
Last updated
01/11/2021
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