Individual
HALLEY PAIGE KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 MICHAEL ST, LOCKPORT, IL 60441-3321
(855) 832-6727
Mailing address
2543 W HOWARD ST APT C, CHICAGO, IL 60645-1561
(786) 399-8469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/22/2023
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