Individual
ISABELLA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 564, PALATINE, IL 60078-0564
(847) 604-0955
Mailing address
6729 N OXFORD AVE, CHICAGO, IL 60631-1508
(312) 075-4194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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