Individual
CHRISTINA ANN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
606 SOUTH JEFFERSON, MASCOUTAH, IL 62258-2615
(618) 566-4200
(618) 566-3700
Mailing address
100 NORTH GOUGAR, JOLIET, IL 60432-9787
(618) 566-4200
(618) 566-3700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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