Individual
TERESA BLACK-JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 S ARTESIAN AVE, CHICAGO, IL 60652-2839
(773) 957-7730
Mailing address
8130 S ARTESIAN AVE, CHICAGO, IL 60652-2839
(773) 957-7730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
823442
IL
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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