Individual
KATHERINE THERESE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
778 W FRONTAGE RD STE 101, NORTHFIELD, IL 60093-1209
(312) 780-0820
Mailing address
4520 N SEELEY AVE APT 3E, CHICAGO, IL 60625-1637
(219) 707-1133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
06/12/2026
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