Individual
KRISTY LYN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, NCSP
Contact information
Practice address
97 EASTGATE DR, WASHINGTON, IL 61571-9271
(800) 773-1682
Mailing address
3751 STATE ROUTE 97, PLEASANT PLAINS, IL 62677-4090
(217) 725-4112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6812
IL
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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