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Individual

MRS. NICOLE LIPOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
8223 W 141ST ST, ORLAND PARK, IL 60462-2323
(912) 690-5735
Mailing address
8223 W 141ST ST, ORLAND PARK, IL 60462-2323
(912) 690-5735

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36585
174400000X
Specialist
051073736
GA
222Q00000X
Developmental Therapist
MG50380121P
IL

Other

Enumeration date
02/03/2017
Last updated
01/12/2026
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