Individual
KAITLYN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1422 W WILLOW ST STE 102, CHICAGO, IL 60642-8977
(773) 902-0360
Mailing address
1422 W WILLOW ST STE 102, CHICAGO, IL 60642-8977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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