Individual
STEPHANIE WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 W CANTERBURY LN, BUFFALO GROVE, IL 60089-7014
(847) 306-9843
Mailing address
6 W CANTERBURY LN, BUFFALO GROVE, IL 60089-7014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34606
IL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/20/2019
Last updated
04/09/2019
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