Individual
KAYLEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E LINCOLN HWY, NEW LENOX, IL 60451-9533
(815) 469-1500
Mailing address
2320 E LINCOLN HWY, NEW LENOX, IL 60451-9533
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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