Individual
CANDACE STADTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14914 HAMLIN AVE, MIDLOTHIAN, IL 60445-3431
(708) 268-4042
Mailing address
14914 HAMLIN AVE, MIDLOTHIAN, IL 60445-3431
(708) 268-4042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5722
IL
Other
Enumeration date
11/11/2009
Last updated
02/24/2013
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