Individual
JESSICA KASSANITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4857 N AVERS AVE APT 2, CHICAGO, IL 60625-6268
(630) 562-6054
Mailing address
4857 N AVERS AVE APT 2, CHICAGO, IL 60625-6268
(630) 562-6054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-59176
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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