Individual
ANDRIETTE RANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8236 S WASHTENAW AVE, CHICAGO, IL 60652-3418
(773) 860-6200
Mailing address
8236 S WASHTENAW AVE, CHICAGO, IL 60652-3418
(773) 860-6200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-40300
IL
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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