Individual
CECELIA GRACE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 W MONROE ST, SPRINGFIELD, IL 62704-1439
(888) 515-1793
Mailing address
3500 N DIRKSEN PKWY LOT 66, SPRINGFIELD, IL 62702-1463
(812) 803-4222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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