Individual
ANDREA RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA-D
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(224) 258-1400
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(224) 258-1400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2097
—
103T00000X
Psychologist
995
LA
103T00000X
Psychologist
PSY21533
CA
Other
Enumeration date
01/20/2012
Last updated
07/02/2019
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