Individual
TAYLOR ERIN JONES MALENCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
970 E OAK ST., LAKE IN THE HILLS, IL 60156
(224) 676-0202
Mailing address
13170 WILLIAMS CIR, GENOA, IL 60135-7756
(262) 705-8268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68107
IL
Other
Enumeration date
09/18/2023
Last updated
09/10/2024
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