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Individual

CARLA D OLDHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
560 WATERBURY DR, AURORA, IL 60504-5276
(630) 991-1156
Mailing address
560 WATERBURY DR, AURORA, IL 60504-5276
(630) 991-1156

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26901
IL

Other

Enumeration date
10/06/2017
Last updated
03/17/2018
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