Individual
JESSICA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
21121 DIVISION ST, CREST HILL, IL 60403-2009
(779) 775-1569
Mailing address
603 KATHERINE ST, LOCKPORT, IL 60441-3118
(224) 545-4790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-344706
IL
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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