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Individual

MR. JUSTIN NUMERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622-1702
(312) 633-5890
Mailing address
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622-1702
(312) 633-5890

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/08/2019
Last updated
07/06/2021
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