Individual
MEREDITH SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,BCBA
Contact information
Practice address
3100 DUNDEE RD, SUITE 704, NORTHBROOK, IL 60062-2437
(847) 498-5437
Mailing address
3100 DUNDEE RD, SUITE 704, NORTHBROOK, IL 60062-2437
(847) 498-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14853
IL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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