Individual provider · Type 1 NPI

Kelli Jean Tande, BCBA

Professional Counselor · Countryside, IL

NPI number 1659580686 Active

Practice location

9649 W 55th St
Countryside, IL 60525-3632

Call (708) 352-3580 Map

Mailing address

5S530 Scots Dr # 18C
Naperville, IL 60563-9000

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1-06-3072 (IL)

Professional Counselor: Definition to come...

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About NPI 1659580686

Kelli Jean Tande, BCBA's National Provider Identifier is 1659580686, issued on May 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Countryside, IL. The record was last updated on Jul 8, 2007.