Individual
JAMI ELLEN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1705 S MIDWAY ST, HERRIN, IL 62948-4267
(618) 889-7421
Mailing address
1705 S MIDWAY ST, HERRIN, IL 62948-4267
(618) 889-7421
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8141
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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