Individual
DENISE D. MIMBELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1739 N ELSTON AVE, CHICAGO, IL 60642-1544
(773) 672-7775
Mailing address
1258 N MILWAUKEE AVE, CHICAGO, IL 60622-2607
(915) 258-3164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
04/18/2026
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