Individual
KATHRYN EITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14755 STONEHAVEN LN, HOMER GLEN, IL 60491-3392
(708) 645-1634
Mailing address
14755 STONEHAVEN LN, HOMER GLEN, IL 60491-3392
(708) 645-1634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6828
IL
Other
Enumeration date
12/17/2013
Last updated
04/09/2014
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