Individual
CHRISTIANA KIMBERLY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
1308 WAUKEGAN RD, 103, GLENVIEW, IL 60025-3070
(877) 487-4141
(847) 486-4145
Mailing address
1308 WAUKEGAN RD, 103, GLENVIEW, IL 60025-3070
(877) 487-4141
(847) 486-4145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8666
CT
Other
Enumeration date
12/11/2011
Last updated
12/11/2011
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