Individual
LAUREN ASHLEY CANNICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FINLEY RD STE 101, DOWNERS GROVE, IL 60515-1394
(815) 469-1500
Mailing address
2901 FINLEY RD STE 101, DOWNERS GROVE, IL 60515-1394
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2020034220
MO
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-54686
MO
Other
Enumeration date
02/26/2020
Last updated
05/19/2022
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