Individual
ELIJHA NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
6807 N SHERIDAN RD APT 218, CHICAGO, IL 60626-3829
(312) 966-5334
Mailing address
6807 N SHERIDAN RD APT 218, CHICAGO, IL 60626-3829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-45310
IL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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