Individual
JESSICA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 N AUTUMN DR, JOLIET, IL 60431-8530
(708) 374-5558
Mailing address
26308 S HARVEST LN, CRETE, IL 60417-4358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-172379
IL
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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