Individual
ANNE LAURIE JEAN JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 W 87TH ST APT 3C, CHICAGO, IL 60620-4046
(407) 579-6379
Mailing address
1240 W 87TH ST APT 3C, CHICAGO, IL 60620-4046
(407) 579-6379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
J6141419000
FL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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