Individual
CASEY BALDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1422 W WILLOW ST STE 10, CHICAGO, IL 60642-8978
(773) 630-4400
Mailing address
1422 W WILLOW ST STE 10, CHICAGO, IL 60642-8978
(773) 630-4400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB445861
IN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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