Individual
MS. MORGAN GABRIELLE MIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCABA
Contact information
Practice address
151 N MICHIGAN AVE, 1909, CHICAGO, IL 60601-7506
(312) 835-0635
Mailing address
151 N MICHIGAN AVE, 1909, CHICAGO, IL 60601-7506
(312) 835-0635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
67098854
IL
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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