Individual
BRIANNE MONTESDEOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 S CICERO AVE STE F, OAK LAWN, IL 60453-4098
(815) 469-1500
Mailing address
10201 S CICERO AVE STE F, OAK LAWN, IL 60453-4098
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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