Individual
CECELIA REGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 183RD ST STE D, TINLEY PARK, IL 60487-9353
(708) 864-2990
Mailing address
579 GIPP DR, MANTENO, IL 60950-3572
(815) 922-6266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
R250-1169-6646
IL
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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