Individual
MS. JACKIE T. HARDENBERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
115 S MARION ST, 1ST FLOOR, OAK PARK, IL 60302-2826
(708) 358-3000
(708) 524-0300
Mailing address
115 S MARION ST, 1ST FLOOR, OAK PARK, IL 60302-2826
(708) 358-3000
(708) 524-0300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6132
IL
Other
Enumeration date
09/05/2008
Last updated
01/20/2010
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