Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003339896 |
---|---|
Provider Name | Miss Chelsey Harmon |
First Address | Des Plaines, IL 60016-6574 |
Second Address | Des Plaines, IL 60016-6574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2017 |
Last Update Date | 17/04/2020 |