Individual
BRAZIL Z JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 NAPER VL RD STE 265, NAPERVILLE, IL 60563-3486
(847) 465-9556
Mailing address
991 OAK CREEK DR, LOMBARD, IL 60148-6408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208773
MO
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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