Individual
JALEN CREAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 REVERE DR STE AA, NORTHBROOK, IL 60062-8001
(844) 247-7222
(215) 489-8766
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(844) 247-7222
(215) 489-8766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-210697
IL
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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