Individual
KIMBERLY WENDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 W ALDER DR, HOFFMAN ESTATES, IL 60192-1507
(309) 235-2947
Mailing address
PO BOX 1457, SAINT CHARLES, IL 60174-7420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
BACB368054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-56238
BOARD CERTIFIED BEHAVIOR ANALYSIS
IL
01
—
RBT-17-34396
REGISTERED BEHAVIOR TECHNICIAN
IL
Enumeration date
01/10/2019
Last updated
10/17/2023
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