Individual
KELSEY SHEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1221 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
(630) 509-4166
Mailing address
1221 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71259
IL
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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