Individual
KEATLEY COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 MAPLE AVE, EVANSTON, IL 60201-3602
(877) 486-4140
Mailing address
5200 N SHERIDAN RD APT 522, CHICAGO, IL 60640-2552
(870) 362-9111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB739990
AR
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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