Individual
CLAIRE OLIVIA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 W ROOSEVELT RD # MC727, CHICAGO, IL 60608-1316
(312) 413-1490
(312) 413-1593
Mailing address
1640 W ROOSEVELT RD # MC727, CHICAGO, IL 60608-1316
(312) 413-1490
(312) 413-1593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-170618
—
Other
Enumeration date
02/20/2021
Last updated
06/07/2021
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