Individual
HANNAH PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 PINGREE RD STE 209, CRYSTAL LAKE, IL 60014-1727
(857) 458-8890
Mailing address
1095 PINGREE RD STE 209, CRYSTAL LAKE, IL 60014-1727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58187
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/24/2021
Last updated
09/07/2022
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