Individual
KORAIMA E. MARROQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5158 W PENSACOLA AVE, CHICAGO, IL 60641-1420
(773) 459-6509
Mailing address
5158 W PENSACOLA AVE, CHICAGO, IL 60641-1420
(773) 459-6509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60806
IL
Other
Enumeration date
05/17/2018
Last updated
08/03/2022
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