Individual
KELCEY BRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8145 RIVER DR, MORTON GROVE, IL 60053-2660
(224) 470-1111
(847) 423-2965
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
(630) 326-7175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56842
IL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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