Individual
CHLOE TYRA GRENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9415 RAINSFORD DR, HUNTLEY, IL 60142-2472
(708) 548-0148
Mailing address
9415 RAINSFORD DR, HUNTLEY, IL 60142-2472
(708) 548-0148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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