Individual
JAIME ANN RISCHE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
204 N SCHOOL ST, MOUNT PROSPECT, IL 60056-2543
(708) 752-1252
Mailing address
204 N SCHOOL ST, MOUNT PROSPECT, IL 60056-2543
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4890
CA
Other
Enumeration date
04/06/2009
Last updated
07/30/2025
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