Individual
QUIANNA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6406 S TALMAN AVE, CHICAGO, IL 60629-1712
(773) 501-4569
Mailing address
6406 S TALMAN AVE, CHICAGO, IL 60629-1712
(773) 501-4569
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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