Individual
JASON BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1722 W FARRAGUT AVE UNIT 2, CHICAGO, IL 60640-2012
(314) 696-9310
(312) 216-0746
Mailing address
1722 W FARRAGUT AVE UNIT 2, CHICAGO, IL 60640-2012
(314) 696-9310
(312) 216-0746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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