Individual
STEPHANIE DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3725 N SAWYER AVE, CHICAGO, IL 60618-4409
(773) 563-3647
Mailing address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1147
TN
103K00000X
Behavior Analyst
5526
TX
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
12/10/2020
Last updated
07/26/2023
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