Individual
JANAYA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21141 DIVISION ST, CREST HILL, IL 60403-2009
(779) 775-1659
Mailing address
21141 DIVISION ST, CREST HILL, IL 60403-2009
(779) 775-1659
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1101556
IL
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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