Individual
ANNE SOPHIA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2701 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 372-2123
Mailing address
2701 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 372-2123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
07/15/2021
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