Individual
ISAMAR COLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA1-23-69935
Contact information
Practice address
1615 W DUGDALE RD, WAUKEGAN, IL 60085-7229
(847) 912-5315
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69935
IL
Other
Enumeration date
10/26/2018
Last updated
01/16/2024
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