Individual
JESENIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 N EOLA RD STE A, AURORA, IL 60502-9110
(630) 999-0401
(630) 423-9669
Mailing address
2796 CRANSTON CIR, YORKVILLE, IL 60560-4613
(708) 691-3924
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB337139
IL
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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