Individual
NAOMI M SILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37658
IL
106S00000X
Behavior Technician
17-28120
IL
Other
Enumeration date
05/14/2018
Last updated
10/01/2019
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