Individual
MR. JARED T WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 QUAIL RIDGE DR BLDG B, WESTMONT, IL 60559-6148
(630) 581-0334
Mailing address
230 ROMAN CIR, BOLINGBROOK, IL 60440-2590
(815) 514-1662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
W230-4388-7106
IL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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