Individual
BRENNA PASSARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALNUT ST STE B, ST CHARLES, IL 60174-2766
(630) 286-0026
(847) 908-7541
Mailing address
13037 FAIRWAY DR, LEMONT, IL 60439-4567
(630) 460-1777
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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