Individual
MS. AILEEN MARY HENNEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8200 185TH ST STE AB, TINLEY PARK, IL 60487-9232
(708) 580-0440
Mailing address
8200 185TH ST STE AB, TINLEY PARK, IL 60487-9232
(708) 580-0440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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