Individual
IVY WEINGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 MICHELLINE LN, NORTHBROOK, IL 60062-2117
(847) 559-1719
Mailing address
613 MICHELLINE LN, NORTHBROOK, IL 60062-2117
(847) 559-1719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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