Individual
BERTHA BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 S PULASKI RD, CHICAGO, IL 60629-4439
(331) 688-4342
Mailing address
5502 SALMA ST, PLAINFIELD, IL 60586-5682
(815) 258-9893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23-284000
IL
Other
Enumeration date
11/01/2023
Last updated
12/04/2025
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