Kelli Jean Tande, BCBA
NPI #1659580686 in Countryside, Illinois
Provider Information
- NPI Number
- 1659580686
- Entity Type
- Individual
- Name
- Kelli Jean Tande, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- BCBA
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9649 W 55TH ST
- City
- Countryside
- State
- Illinois
- ZIP Code
- 60525-3632
- Phone
- (708) 352-3580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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