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Individual

CHELSEA MOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 EXECUTIVE PL, GENEVA, IL 60134-3807
(708) 278-6080
Mailing address
634 NANTUCKET WAY, ISLAND LAKE, IL 60042-9413
(708) 278-6080

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-77588
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-77588
BACB
IL
Enumeration date
11/06/2020
Last updated
11/06/2020
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