Individual
MARTINA YOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 COMMERCE DR, OAK BROOK, IL 60523-1965
(866) 429-7523
Mailing address
814 COMMERCE DR, OAK BROOK, IL 60523-1965
(866) 429-7523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374700000X
Technician
Primary
—
IN
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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