Individual
KALINA MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
487 GILBERT DR, WOOD DALE, IL 60191-1961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60968
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/18/2021
Last updated
01/30/2025
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