Individual
MS. JING OMAHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18829 S VANDERBILT DR, MOKENA, IL 60448-8885
(574) 229-6219
Mailing address
18829 S VANDERBILT DR, MOKENA, IL 60448-8885
(574) 229-6219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53413
IL
Other
Enumeration date
07/17/2013
Last updated
06/25/2025
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