Individual
KATHERINE THERESE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1925 S ARCHER AVE, CHICAGO, IL 60616-1618
(224) 572-8739
Mailing address
1247 W BARRY AVE, CHICAGO, IL 60657-7153
(219) 707-1133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
08/18/2021
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