Individual
BERENIS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 GRASSELLI ST, EAST CHICAGO, IN 46312-3503
(219) 397-1085
Mailing address
4331 TORRENCE AVE, HAMMOND, IN 46327-1433
(219) 289-9382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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