Individual
AUDREY NICOLE ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 WEST DEVON AVE.,, 2E, CHICAGO, IL 60660
(515) 661-1647
Mailing address
1414 WEST DEVON AVE.,, 2E, CHICAGO, IL 60660
(515) 661-1647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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