Individual
MICHELE DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18663 ASHLAND AVE, HOMEWOOD, IL 60430-3856
(815) 953-1699
Mailing address
18663 ASHLAND AVE, HOMEWOOD, IL 60430-3856
(815) 953-1699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
146006186
IL
Other
Enumeration date
09/23/2010
Last updated
09/10/2014
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