Individual
NICOLE TAYLOR PREETORIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 W 21ST PL # 2, CHICAGO, IL 60608-4202
(312) 771-7065
Mailing address
1952 W 21ST PL # 2, CHICAGO, IL 60608-4202
(312) 771-7065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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