Individual
BRANDI O'BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
1252 MARKET PLACE DR UNIT 1223, YORKVILLE, IL 60560-1923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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