Individual
STEPHANIE ELIZABETH BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 W CERMAK RD, CICERO, IL 60804-2817
(708) 656-6591
Mailing address
5341 W CERMAK RD, CICERO, IL 60804-2817
(708) 656-6591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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