Individual
MS. GRACE KATHRYN HABERKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2121 N CLYBOURN AVE UNIT A1, CHICAGO, IL 60614-4031
(773) 630-4400
Mailing address
1765 N ELSTON CHICAGO, SUITE 206, CHICAGO, IL 60642
(773) 630-4400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB450218
IL
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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