Individual
STEPHANIE OLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2749 GRAND AVE, WAUKEGAN, IL 60085-2406
(224) 470-0229
Mailing address
2749 GRAND AVE, WAUKEGAN, IL 60085-2406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72717
IL
Other
Enumeration date
07/14/2019
Last updated
05/08/2024
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