Individual
ANYIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S KENNEDY DR, BRADLEY, IL 60915-2682
(815) 935-7496
Mailing address
916 N SCHUYLER AVE, KANKAKEE, IL 60901-2121
(815) 386-7008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/10/2025
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