Individual
JENNIFER BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-17-45944
Contact information
Practice address
413 HUBBARD LN, LAKE VILLA, IL 60046-5744
(847) 815-4713
Mailing address
413 HUBBARD LN, LAKE VILLA, IL 60046-5744
(847) 815-4713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-45944
IL
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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