Individual
KATHY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 W TOWN CENTER BLVD, CHAMPAIGN, IL 61822-1248
(844) 623-1613
Mailing address
517 W TOWN CENTER BLVD, CHAMPAIGN, IL 61822-1248
(844) 623-1613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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