Individual
BIANCA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 N EOLA RD, SUITE A, AURORA, IL 60502-9612
(630) 991-0401
Mailing address
1302 N OAKMONT DR, APT 204, GLENDALE HEIGHTS, IL 60139-3637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-1625648
IL
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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