Individual
KRISTEN WHITEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1740 INNOVATION DR, CARBONDALE, IL 62903-6102
(618) 969-2734
Mailing address
1740 INNOVATION DR, CARBONDALE, IL 62903-6102
(618) 969-2734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
11/14/2025
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