Individual
MRS. HALEY ROSE KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1272 S GRAND AVE W, SPRINGFIELD, IL 62704-3567
(217) 572-2286
Mailing address
1720 S WHITTIER AVE, SPRINGFIELD, IL 62704-4022
(217) 572-2286
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40592
IL
Other
Enumeration date
02/25/2020
Last updated
04/25/2023
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