Individual
TERRENCE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
917 W HAWTHORN DR, ITASCA, IL 60143-2056
(847) 465-9556
(847) 465-9621
Mailing address
991 OAK CREEK DR, LOMBARD, IL 60148-6408
(847) 465-9556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-2831259
IL
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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