Individual
MRS. VANESSA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 LINDEN PARK LN, AURORA, IL 60504-4806
(773) 217-4907
Mailing address
725 KELLEY DR, NORTH AURORA, IL 60542-4003
(773) 217-4907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43829
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/05/2020
Last updated
09/07/2020
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