Individual
MANALI V. THAKORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS BCBA
Contact information
Practice address
16521 W 159TH ST, LOCKPORT, IL 60441
(815) 469-1500
Mailing address
1647 MULLIGAN DR, NAPERVILLE, IL 60563-1786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22397
IL
Other
Enumeration date
06/27/2016
Last updated
10/30/2024
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