Individual
JUANITA A LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4302 OAK ST, BELLWOOD, IL 60104-1312
(708) 616-5301
Mailing address
4302 OAK ST, BELLWOOD, IL 60104-1312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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