Individual
JILL MARIE GRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
39441 N CIRCLE AVE, ANTIOCH, IL 60002-8782
(847) 271-0001
Mailing address
39441 N CIRCLE AVE, ANTIOCH, IL 60002-8782
(847) 271-0001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45810
IL
106S00000X
Behavior Technician
RBT-17-40971
IL
Other
Enumeration date
06/07/2018
Last updated
11/19/2020
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