Individual
MS. JACQUELINE WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6520 DOUBLE EAGLE DR UNIT 309, WOODRIDGE, IL 60517-1571
(708) 466-1082
Mailing address
6520 DOUBLE EAGLE DR UNIT 309, WOODRIDGE, IL 60517-1571
(708) 466-1082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34520
IL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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