Individual
BRIDGET BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 N CLARK ST APT 201, CHICAGO, IL 60614-7723
(609) 502-8026
Mailing address
2050 N CLARK ST APT 201, CHICAGO, IL 60614-7723
(609) 502-8026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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