Individual
MISS HOLLY MARIE STUBNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,, BCBA
Contact information
Practice address
451 W WRIGHTWOOD AVE, 913, CHICAGO, IL 60614-1882
(618) 201-1146
Mailing address
451 W WRIGHTWOOD AVE, 913, CHICAGO, IL 60614-1882
(618) 201-1146
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3682
IL
Other
Enumeration date
08/01/2008
Last updated
06/06/2011
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