Individual
SUSAN OWANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
24402 W LOCKPORT ST STE 124, PLAINFIELD, IL 60544-4288
(815) 239-0395
Mailing address
24402 W LOCKPORT ST STE 124, PLAINFIELD, IL 60544-4288
(815) 239-0395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB520954
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/28/2019
Last updated
12/07/2023
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