Individual
KAYLA NICHOLE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S MICHIGAN AVE, CHICAGO, IL 60604-4434
(773) 658-7210
Mailing address
8049 S CONSTANCE AVE, CHICAGO, IL 60617-1028
(773) 658-7210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
05/01/2025
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