Individual
KELLY L PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14701 S LA GRANGE RD, ORLAND PARK, IL 60462-3226
(224) 470-0057
Mailing address
15260 LAS ROBLES ST, OAK FOREST, IL 60452-1714
(708) 975-6820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28698
IL
Other
Enumeration date
01/17/2018
Last updated
07/19/2021
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