Individual
DONOVAN K SHORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18501 MAPLE CREEK DR STE 200185, TINLEY PARK, IL 60477-5122
(708) 719-4288
Mailing address
13239 S RHODES AVE, CHICAGO, IL 60827-1341
(773) 968-0646
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65139
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/16/2021
Last updated
04/30/2023
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