Individual
JENNA THERESA MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
950 LEE ST STE 105, DES PLAINES, IL 60016-6556
(877) 486-4140
Mailing address
5812 S NATOMA AVE, CHICAGO, IL 60638-3331
(773) 517-6252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193496
IL
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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