Individual
CALLAN GILSENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
33 W HIGGINS RD STE 950, SOUTH BARRINGTON, IL 60010-9140
(314) 275-0506
Mailing address
2055 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4036
(314) 275-0506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53985
IL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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