Individual
NICREIN MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(855) 528-8476
Mailing address
10821 S HARLEM AVE APT 2N, WORTH, IL 60482-1164
(708) 745-2153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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