Individual
EVELYN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-61799
Contact information
Practice address
2347 SCOVILLE AVE, BERWYN, IL 60402-2442
(708) 264-7396
Mailing address
2347 SCOVILLE AVE, BERWYN, IL 60402-2442
(708) 264-7396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-61799
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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