Individual
MISS SARA VENTURA VILLAGRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E HURON ST, UNIT 1106, CHICAGO, IL 60611-2766
(847) 997-7157
Mailing address
1971 W EVERGREEN AVE, APT 2R, CHICAGO, IL 60622-1934
(760) 470-0278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103KOOOOOX
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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