Individual
SIMONE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-20-42376
Contact information
Practice address
619 E GLENWOOD LANSING RD APT 103, GLENWOOD, IL 60425-2303
(312) 778-0612
Mailing address
619 E GLENWOOD LANSING RD APT 103, GLENWOOD, IL 60425-2303
(312) 778-0612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
06/18/2020
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