Individual
MS. NANNAPAT MEETAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8200 185TH ST STE AB, TINLEY PARK, IL 60487-9232
(708) 580-0440
Mailing address
8421 STRATFORD DR, TINLEY PARK, IL 60487-2119
(708) 655-4252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41175
IL
106S00000X
Behavior Technician
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Other
Enumeration date
11/03/2017
Last updated
03/06/2020
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