SearchIllinois103K00000X

Kelley Fowler, BCBA

NPI 1235049933 · on the registry since 2026 · sole proprietor

Practice

Address
854 W Newport Ave Apt 2
Chicago, IL 60657
Phone
(314) 409-5020

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-08

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