Individual
AMANDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, M.ED
Contact information
Practice address
901 W HAWTHORN DR, ITASCA, IL 60143
(800) 844-1232
(800) 844-1232
Mailing address
901 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(800) 844-1232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
BCBA1-07-3892
IL
Other
Enumeration date
09/12/2008
Last updated
06/04/2018
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