Individual
MRS. SHELBY SOUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSBP - BCBA
Contact information
Practice address
625 SLAWIN CT, MOUNT PROSPECT, IL 60056-2183
(715) 584-7789
Mailing address
3 ELM CREEK DR APT 103, ELMHURST, IL 60126-5288
(630) 701-5696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57189
IL
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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