Individual
JULIETE MARIE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
2749 GRAND AVE, WAUKEGAN, IL 60085-2406
(224) 436-0788
Mailing address
2625 N CLARK ST APT 1503, CHICAGO, IL 60614-1860
(773) 934-8261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12368947
IL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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