Individual
BRITTANY MICHELLE WISE BAER
Active
Sole proprietor
No
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
400 N MADISON ST UNIT B, WOODSTOCK, IL 60098-3301
(906) 399-7616
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27866
—
Other
Enumeration date
10/03/2017
Last updated
10/08/2017
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