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Individual

MARISSA BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
666 DUNDEE RD STE 1605, NORTHBROOK, IL 60062-2738
(847) 495-2640
(473) 242-1848
Mailing address
666 DUNDEE RD STE 1605, NORTHBROOK, IL 60062-2738
(847) 495-2640
(847) 324-2184

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18740
IL

Other

Enumeration date
09/01/2016
Last updated
09/28/2023
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