Individual
THOMAS WIERZBINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3022 N AVERS AVE # 1, CHICAGO, IL 60618-6502
(815) 530-0596
Mailing address
3022 N AVERS AVE # 1, CHICAGO, IL 60618-6502
(815) 530-0596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30777
IL
Other
Enumeration date
12/04/2018
Last updated
09/07/2021
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