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1972058311
AUDREY BAENZIGER
KINGSTON, IL
NPI
1972058311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-15-20703)
Enumeration Date
2016-08-15
Last Update Date
2016-08-15
Business Address
-- AUDREY BAENZIGER BCBA
29854 OAK MEADOW DR
KINGSTON, IL 60145-8538
Phone number: 815-739-5244
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Mailing Address
-- AUDREY BAENZIGER BCBA
29854 OAK MEADOW DR
KINGSTON, IL 60145-8538
Phone number: 815-739-5244
Copy
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