Individual
PAULETTE Y JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 W BLOOMINGTON RD APT 103L, CHAMPAIGN, IL 61821-0907
(872) 201-0101
Mailing address
1705 W BLOOMINGTON RD APT 103L, CHAMPAIGN, IL 61821-0907
(872) 201-0101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
J52067985653
IL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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