Individual
MS. DEBORA HILLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, M.ED.
Contact information
Practice address
703 PHEASANT TRL, SAINT CHARLES, IL 60174-8859
(847) 769-9901
Mailing address
703 PHEASANT TRL, SAINT CHARLES, IL 60174-8859
(847) 769-9901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13677
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
08/08/2013
Last updated
08/08/2013
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