Individual
GRISELDA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
704 YOUNGS AVE, JOLIET, IL 60432-1614
(815) 295-7391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-107386
IL
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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