Individual
LOREN M DICRISTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 183RD ST, TINLEY PARK, IL 60487-9353
(708) 864-2990
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D26253384851
IL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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