Individual
KATHERINE F NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4927 OAK LN, GURNEE, IL 60031-1970
(847) 224-9812
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178005841
IL
103K00000X
Behavior Analyst
Primary
1-14-15377
IL
103K00000X
Behavior Analyst
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Other
Enumeration date
11/16/2011
Last updated
12/07/2023
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