Keaira Dates

NPI #1114698271 in Chicago, Illinois

Provider Information

NPI Number
1114698271
Entity Type
Individual
Name
Keaira Dates
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 27, 2021
Last Updated
Sep 27, 2021

Practice Location

Address
1409 W CARROLL AVE
ZIP Code
60607-1105
Phone
(312) 733-0883

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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