Individual
JACQUELINE ROSE CERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
975 W HAWTHRON DR, ITASCA, IL 60143
(800) 844-1232
Mailing address
346 DORCHESTER LN, ELK GROVE VILLAGE, IL 60007-3808
(630) 486-4855
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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