Individual
MS. JANICE MARIE PELLECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1530 S. STATE ST., 15Q, CHICAGO, IL 60605-9954
(630) 673-1211
Mailing address
1530 S STATE ST, 15Q, CHICAGO, IL 60605-2964
(630) 673-1211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1395
IL
103TB0200X
Cognitive & Behavioral Psychologist
1-03-1395
IL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1-03-1395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-03-1395
BEHAVIOR ANALYSIS CERTIFICATION BOARD (NATIONAL CERTIFICATION)
FL
Enumeration date
05/08/2007
Last updated
09/25/2013
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