SearchIllinoisBehavior Technician

Keaira Dates

NPI 1114698271 · on the registry since 2021

Practice

Address
1409 W Carroll Ave
Chicago, IL 60607
Phone
(312) 733-0883
Organisation at this address
Eyas Landing, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
191

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois