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Individual

ANSU OOMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. BCBA

Contact information

Practice address
4145 W ARMITAGE AVE, CHICAGO, IL 60639-3644
(773) 644-7787
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-17-31199
IL

Other

Enumeration date
02/22/2018
Last updated
03/27/2023
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