Individual
KAYLIE VADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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