Individual
SAMANTHA LANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
738 W ARMY TRAIL RD, CAROL STREAM, IL 60133
(815) 469-1500
Mailing address
738 ARMY TRAIL RD., CAROL STREAM, IL 60133
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45999
IL
106S00000X
Behavior Technician
RBT-17-46877
IL
Other
Enumeration date
05/29/2018
Last updated
02/03/2022
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