Individual
CHRISTINA RENEE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(773) 466-1555
Mailing address
15621 ORCHID DR, SOUTH HOLLAND, IL 60473-1334
(219) 742-1028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306282
IN
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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