Individual
GABRIELLE ENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(779) 772-3647
Mailing address
1515 ROOSEVELT RD, MACHESNEY PARK, IL 61115-2114
(779) 772-3647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-443807
IL
Other
Enumeration date
06/11/2025
Last updated
06/16/2025
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