Individual
MISS VANESSA R BARRIENTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 863-3803
Mailing address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
B653872668
IL
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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