Individual
IVETTE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 W 63RD PL, CHICAGO, IL 60629-4754
(954) 899-7667
Mailing address
3319 N ELSTON AVE, CHICAGO, IL 60618-5811
(312) 733-0883
(312) 253-1440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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