Individual
KENYATTA FUNTAY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W WARNER AVE STE 101, CHICAGO, IL 60613-1891
(312) 940-2190
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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