Organization
DENISE BENNETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BENNETT (MANAGER)
(217) 622-1148
Entity
Organization
Contact information
Practice address
2124 N BINGHAM ST UNIT 2, CHICAGO, IL 60647-4034
(217) 622-1148
Mailing address
2124 N BINGHAM ST UNIT 2, CHICAGO, IL 60647-4034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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