Individual
KIMBERLY ANN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7360 N LINCOLN AVE STE 110, LINCOLNWOOD, IL 60712-1705
(855) 855-2712
Mailing address
7360 N LINCOLN AVE STE 110, LINCOLNWOOD, IL 60712-1705
(855) 855-2712
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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