Individual
NICOLE SHANNON CHRISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 TALLMAN AVE, ROMEOVILLE, IL 60446-1746
(708) 207-8981
Mailing address
232 TALLMAN AVE, ROMEOVILLE, IL 60446-1746
(708) 207-8981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24639
IL
Other
Enumeration date
12/28/2016
Last updated
02/20/2017
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