Individual
KATHRYN FASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 IROQUOIS AVE, SUITE 306, NAPERVILLE, IL 60563-1689
(331) 229-8844
Mailing address
1260 IROQUOIS AVE, SUITE 306, NAPERVILLE, IL 60563-1689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
05/11/2016
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