Individual
JENNIFER ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 REVERE DR STE AA, NORTHBROOK, IL 60062-8001
(847) 807-6647
(847) 348-3706
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(847) 807-6647
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-215569
IL
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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