Individual
EMILY RUTH KALAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(630) 981-4313
Mailing address
5030 N KEDVALE AVE, CHICAGO, IL 60630-2705
(630) 981-4313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-17195
BCBA CERTIFICATE
—
Enumeration date
06/17/2014
Last updated
05/10/2021
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