Individual
CHELSEA SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1501 DOGWOOD DR, WOODRIDGE, IL 60517-4649
(269) 377-9796
Mailing address
2131 N LARRABEE ST APT 6301, CHICAGO, IL 60614-4422
(269) 377-9796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12--12699
BEHAVIOR ANALYST CERTIFICATION BOARD
IL
Enumeration date
11/28/2012
Last updated
08/26/2019
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