Individual
PATRICIA KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2705 S FARRELL RD, LOCKPORT, IL 60441-9760
(708) 792-3259
Mailing address
2705 S FARRELL RD, LOCKPORT, IL 60441-9760
(708) 792-3259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32014
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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