Individual
JAYSON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14421 S WALLIN DR, PLAINFIELD, IL 60544-2502
(331) 625-3059
Mailing address
14421 S WALLIN DR, PLAINFIELD, IL 60544-2502
(331) 625-3059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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