Individual
CHRISTOPHER WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 N RIVER LN STE 2109, GENEVA, IL 60134-2003
(562) 371-4696
Mailing address
5240 W STRONG ST, CHICAGO, IL 60630-2217
(773) 503-6652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-83470
IL
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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