Individual
LAINIE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2762 N LINCOLN AVE, CHICAGO, IL 60614-2425
(844) 247-7222
(215) 489-8766
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(844) 247-7222
(847) 584-2604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
08/18/2016
Last updated
07/22/2021
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