Ivy Weingardt
Behavior Analyst in Northbrook, IL. Individual provider (NPI-1).
NPI number1710364591
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1710364591
- Entity type
- Individual (NPI-1)
- Name
- Ivy Weingardt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2015
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | IL | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
613 Michelline LnNorthbrook, IL 60062-2117
Phone 847-559-1719
Mailing address
613 Michelline LnNorthbrook, IL 60062-2117
Phone 847-559-1719
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