Individual
DANIELLE L STAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. B.C.B.A.
Contact information
Practice address
4801 W PETERSON AVE, SUITE 403, CHICAGO, IL 60646-5713
(773) 407-1121
Mailing address
3717 N FREMONT ST, APT. 3S, CHICAGO, IL 60613-3911
(317) 407-2984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9280
IL
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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