Individual
KARA LAITINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 W MONTROSE AVE, CHICAGO, IL 60634-1556
(773) 283-6017
Mailing address
6202 W MONTROSE AVE, CHICAGO, IL 60634-1556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11831023
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/11/2018
Last updated
07/11/2018
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