Individual
TAYLOR EGGENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
(815) 469-1500
Mailing address
1221 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/19/2021
Last updated
10/02/2024
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