Individual
KATHLEEN SEUNSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, M.A., LBA
Contact information
Practice address
722 W COUNTY RD STE F, JERSEYVILLE, IL 62052-2598
(618) 226-5646
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5832
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/24/2018
Last updated
05/21/2024
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