Individual
ANNALYN CABILANGAN CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2224
(877) 486-4140
Mailing address
950 LEE ST, DES PLAINES, IL 60016-6532
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-94710
IL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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