Individual
VIANEY AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23909 W RENWICK RD STE 105, PLAINFIELD, IL 60544-2109
(779) 234-9583
Mailing address
316 FIELDSTONE CT, BOLINGBROOK, IL 60440-2891
(630) 429-7272
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-319511
IL
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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