Individual
ANNA DE LA COTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 W MONTROSE AVE, CHICAGO, IL 60634-1556
(708) 668-8140
Mailing address
525 N WOOD ST APT 2, CHICAGO, IL 60622-6056
(708) 668-8140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37860
IL
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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