Individual
TALEAH HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
Mailing address
6440 W MONTROSE AVE, HARWOOD HEIGHTS, IL 60706-7133
(630) 235-4698
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-147368
IL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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