Individual
CAYLEE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED., BCBA
Contact information
Practice address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
Mailing address
3815 E MAIN ST STE B, ST CHARLES, IL 60174-2488
(630) 584-7530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25509
IL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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