Individual
CHANEL JOYCE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 LAKE COOK RD STE 314, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123669
IL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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