Individual
JEMMA ANN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 564, NORTHBROOK, IL 60065-0564
(847) 604-0955
Mailing address
601 W HUNTINGTON COMMONS RD APT 101, MOUNT PROSPECT, IL 60056-5249
(224) 659-9994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
81-5021069
IL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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