Individual
MISS KATHRYN FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
6860 N FRONTAGE RD STE A, BURR RIDGE, IL 60527-7828
(331) 210-9210
Mailing address
8305 BOB O LINK RD, ORLAND PARK, IL 60462-4123
(708) 476-8907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62214
IL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/22/2020
Last updated
11/16/2022
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