Individual
JENELLE CLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3815 E MAIN ST, SAINT CHARLES, IL 60174-2488
(630) 584-7330
(630) 584-7762
Mailing address
3815 E MAIN ST, SAINT CHARLES, IL 60174-2488
(630) 584-7330
(630) 584-7762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49805
IL
106E00000X
Assistant Behavior Analyst
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—
Other
Enumeration date
09/06/2019
Last updated
05/24/2021
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