Individual
COURTNEY MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1765 N ELSTON AVE, CHICAGO, IL 60642-1501
(773) 630-4400
Mailing address
1765 N ELSTON AVE, CHICAGO, IL 60642-1501
(773) 630-4400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-25226
IN
103K00000X
Behavior Analyst
Primary
1-17-25236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699291419
—
IL
Enumeration date
08/15/2017
Last updated
06/06/2022
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