Individual
JUAN LUIS MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 222-4890
Mailing address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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