Individual
AMANDA RESENDIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1009 ASHLAND CT, AURORA, IL 60505-5501
(815) 405-1474
Mailing address
1009 ASHLAND CT, AURORA, IL 60505-5501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-27769
IL
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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