Individual
POLLY TANEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 S MICHIGAN AVE, CHICAGO, IL 60616-5258
(800) 465-3203
Mailing address
808 N WELLS ST UNIT 620, CHICAGO, IL 60610-3648
(773) 627-2065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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