Individual
HAKEEM HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
19056 HENRY DR, MOKENA, IL 60448-9302
(765) 480-3198
Mailing address
19056 HENRY DR, MOKENA, IL 60448-9302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9799
IL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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