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Individual

JAZARIAH LYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BT

Contact information

Practice address
737 W WRIGHTWOOD AVE, CHICAGO, IL 60614-2539
(773) 672-9815
(312) 275-8553
Mailing address
5002 NORTHCOTE AVE APT 1R, EAST CHICAGO, IN 46312-6646

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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