Individual
ESTEFANY YESENIA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 N LOTUS AVE, CHICAGO, IL 60644-3247
(708) 970-9574
Mailing address
129 N LOTUS AVE, CHICAGO, IL 60644-3247
(708) 970-9574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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