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Individual

LEANN STASECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3917
(847) 348-3706
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3917
(847) 348-3706

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7808
IL

Other

Enumeration date
04/22/2020
Last updated
04/22/2020
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