Individual
MS. KELLI SANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-71726
Contact information
Practice address
6N200 MEDINAH RD, MEDINAH, IL 60157-9743
(847) 525-4999
Mailing address
6N200 MEDINAH RD, MEDINAH, IL 60157-9743
(847) 525-4999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-71726
IL
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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