Individual
MR. ERNESTO RODRIGUEZ CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHELOR
Contact information
Practice address
553 HINMAN AVE., D1, EVANSTON, IL 60202
(415) 323-8057
Mailing address
553 HINMAN AVE., D1, EVANSTON, IL 60202
(415) 323-8057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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