Individual
GIOVANNI HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
Mailing address
1585 N MILWAUKEE AVE STE 101, LIBERTYVILLE, IL 60048-1359
(847) 918-7947
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-165849
IL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
02/27/2025
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