Individual
ASHA BANU UTHUMANKANI KAJA MOHIDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(855) 528-8476
(630) 687-8737
Mailing address
313 BUCKINGHAM CT, LOMBARD, IL 60148-1667
(813) 334-4273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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