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Individual

ANITRA ZOE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2110 DEWEY AVE APT G, EVANSTON, IL 60201-3056
(224) 456-4766
Mailing address
2110 DEWEY AVE APT G, EVANSTON, IL 60201-3056
(224) 456-4766

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-148571
IA

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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