Individual
MR. JASON WETHERBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6300 KINGERY HWY STE 102, WILLOWBROOK, IL 60527-2250
(815) 469-1500
Mailing address
1841 S CALUMET AVE APT 1206, CHICAGO, IL 60616-4812
(302) 236-8184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28305
IL
Other
Enumeration date
09/13/2010
Last updated
09/22/2022
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