Individual
MS. SRUTHI RAMESHKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2600 WARRENVILLE RD STE 212, DOWNERS GROVE, IL 60515-1761
(630) 442-7065
Mailing address
2328 SPIKE HORN AVE, NAPERVILLE, IL 60564-4316
(630) 656-7012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50394
IL
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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