Individual
KHIZRAN MARIAM BAKHSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1312 SNOWBERRY LN, WEST CHICAGO, IL 60185-5965
(773) 786-9325
Mailing address
1312 SNOWBERRY LN, WEST CHICAGO, IL 60185-5965
(773) 786-9325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
01/08/2019
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