Individual
ELIZABETH NICOLE LABERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
19060 EVERETT BLVD UNIT 107, MOKENA, IL 60448-2500
(815) 641-9187
(779) 324-5236
Mailing address
19060 EVERETT BLVD UNIT 107, MOKENA, IL 60448-2500
(815) 641-9187
(779) 324-5236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-15005
IL
Other
Enumeration date
12/03/2013
Last updated
06/30/2023
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