Individual
AMARISSA RUTH CREMEENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 GARRY DR, SPRINGFIELD, IL 62712-5884
(217) 361-4568
Mailing address
4121 GARRY DR, SPRINGFIELD, IL 62712-5884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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