Keaira Dates
Keaira Dates is a Behavior Technician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1409 W Carroll AveChicago, IL 60607-1105
Phone: (312) 733-0883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-18-64737 (IL) |
|---|
Record details
| NPI number | 1114698271 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2021 |
| Last updated in NPPES | September 27, 2021 |
| Certification date | September 27, 2021 |
| Mailing address | 1409 W Carroll Ave, Chicago, IL 60607-1105 |
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