Individual
JAMES MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(847) 486-4140
Mailing address
950 LEE ST, DES PLAINES, IL 60016-6532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB655292
IL
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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