Individual
MRS. DETELINA COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3504 COMMERCIAL AVE, NORTHBROOK, IL 60062-1821
(847) 272-5111
Mailing address
3504 COMMERCIAL AVE, NORTHBROOK, IL 60062-1821
(847) 272-5111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10208
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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