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Individual

BETHANY KOSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14225 S 95TH AVE STE 453, ORLAND PARK, IL 60462-2266
(815) 469-1500
Mailing address
14225 S 95TH AVE STE 453, ORLAND PARK, IL 60462-2266
(815) 469-1500

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61255
IL

Other

Enumeration date
12/16/2019
Last updated
06/05/2023
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