Individual
KHALIA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 185TH ST STE AB, TINLEY PARK, IL 60487-9232
(224) 339-7529
Mailing address
5017 GARFIELD ST, GARY, IN 46408-4349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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