Individual
KAILEIGH EMMA BAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 MAINE ST STE 13, QUINCY, IL 62301-3950
(217) 577-2176
Mailing address
535 MAINE ST STE 13, QUINCY, IL 62301-3950
(217) 577-2176
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1103162
IL
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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