Individual
RUBI REYNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1422 W WILLOW ST, CHICAGO, IL 60642-8978
(312) 399-0370
Mailing address
1422 W WILLOW ST, CHICAGO, IL 60642-8978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB458496
IL
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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