Individual
TAYLOR N GENSEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4433 W TOUHY AVE UNIT 335, LINCOLNWOOD, IL 60712-1820
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33978
IL
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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