Individual
EMILY TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
(331) 229-8839
Mailing address
4615 W 103RD ST, OAK LAWN, IL 60453-4718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
T65320001713
IL
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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