Individual
LAUREN RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E BURNETT RD, ISLAND LAKE, IL 60042-9716
(224) 558-0980
Mailing address
121 E BURNETT RD, ISLAND LAKE, IL 60042-9716
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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