Individual
JAVONNE DENISE SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(833) 717-4244
Mailing address
626 ROOSEVELT ST, GARY, IN 46404-1312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IN
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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