Individual
BERENICE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 W BRYN MAWR AVE, CHICAGO, IL 60631-3524
(224) 258-2570
Mailing address
8609 W BRYN MAWR AVE, CHICAGO, IL 60631-3524
(224) 258-2570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-70210
IL
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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