Individual
ANITA JOLANTA PRUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 W 87TH ST APT 2A, BURBANK, IL 60459-2563
(708) 606-2836
Mailing address
5850 W 87TH ST APT 2A, BURBANK, IL 60459-2563
(708) 606-2836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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