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1861150633
KHIANA BOONE
CALUMET CITY, IL
NPI
1861150633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: IL 0-21-12503)
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
KHIANA BOONE BCaBA
1931 WILSON AVE APT 18
CALUMET CITY, IL 60409-2930
Phone number: 708-510-3292
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Mailing Address
KHIANA BOONE BCaBA
1931 WILSON AVE APT 18
CALUMET CITY, IL 60409-2930
Phone number: 708-510-3292
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