Individual
KATHERINE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Mailing address
1949 W 21ST PL, CHICAGO, IL 60608-4201
(312) 723-6448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
08/08/2024
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