Individual
JASMINE ALEXANDRIA BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BIESTERFIELD RD STE 110, ELK GROVE VLG, IL 60007-3393
(630) 999-8227
Mailing address
1951 LILAC CT, SCHAUMBURG, IL 60193-6328
(224) 230-8002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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