Kelsey Fagan
NPI #1013402858 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1013402858
- Entity Type
- Individual
- Name
- Kelsey Fagan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Jun 25, 2018
Practice Location
- Address
- 4780 ALEXANDRA LN
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-7119
- Phone
- (815) 601-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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