Individual
SARA JEAN BAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
422 W MELROSE ST, APT. 605, CHICAGO, IL 60657-3849
(708) 363-6721
Mailing address
422 W MELROSE ST, APT. 605, CHICAGO, IL 60657-3849
(708) 363-6721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5566
IL
Other
Enumeration date
08/07/2009
Last updated
10/23/2009
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