Individual
CARLA HORSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-39322
IL
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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