Individual
KAYLA DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 863-3803
Mailing address
20 ORCHARD ST, WILLIAMS BAY, WI 53191-9708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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