Individual
FELICIA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 S DANTE AVE, CHICAGO, IL 60619-7118
(773) 322-1909
Mailing address
166 W 141ST ST, RIVERDALE, IL 60827-2266
(312) 918-1956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-237687
IL
106S00000X
Behavior Technician
RBT--22-237687
IL
Other
Enumeration date
10/19/2022
Last updated
05/27/2026
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