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Individual

HEIDI LAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
2278 DEWEY DR, SPRING HILL, TN 37174-7161
(615) 609-3050

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-414069
IL

Other

Enumeration date
01/23/2025
Last updated
08/26/2025
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