Individual
SUSAN E HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2 INGLESHIRE CT, MONTGOMERY, IL 60538-2045
(573) 239-0765
Mailing address
2 INGLESHIRE CT, MONTGOMERY, IL 60538-2045
(573) 239-0765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-29637
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
01/14/2020
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