Individual
MRS. KATHLEEN KELLER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR SPECIALIST
Contact information
Practice address
11341 S WASHTENAW AVE, CHICAGO, IL 60655-1919
(773) 881-9445
Mailing address
11341 S WASHTENAW AVE, CHICAGO, IL 60655-1919
(773) 881-9445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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