Individual
LAKEISHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5102 MUSEUM DR, OAK LAWN, IL 60453-7005
(773) 501-3048
Mailing address
4000 W 106TH PL, OAK LAWN, IL 60453-4920
(773) 501-3048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/02/2020
Last updated
07/03/2025
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