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1710570106
DONOVAN K SHORTS
TINLEY PARK, IL
NPI
1710570106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-23-65139)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-02-16
Last Update Date
2023-04-30
Business Address
DONOVAN K SHORTS
18501 MAPLE CREEK DR STE 200185
TINLEY PARK, IL 60477-5122
Phone number: 708-719-4288
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Mailing Address
DONOVAN K SHORTS
13239 S RHODES AVE
CHICAGO, IL 60827-1341
Phone number: 773-968-0646
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