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Individual

BERENICE VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 LEXINGTON DR, BUFFALO GROVE, IL 60089-6929
(224) 676-0202
Mailing address
160 LEXINGTON DR STE B, BUFFALO GROVE, IL 60089-6929

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-89864
IL
103K00000X
Behavior Analyst
Primary
21-190778
IL
106S00000X
Behavior Technician
Primary
21-190778
IL

Other

Enumeration date
10/29/2021
Last updated
07/22/2026
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