Individual
EMMA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(855) 832-6727
Mailing address
2650 N LAKEVIEW AVE APT 1405, CHICAGO, IL 60614-2950
(952) 797-3766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-293115
IL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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