Nathalia Constanza Bizama Fredes

NPI #1114548591 in Chicago, Illinois

Provider Information

NPI Number: 1114548591
Entity Type: Individual
Name: Nathalia Constanza Bizama Fredes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 27, 2020
Last Updated: Apr 27, 2020

Practice Location

Address: 5200 S BLACKSTONE AVE APT 503
City: Chicago
State: Illinois
ZIP Code: 60615-6011
Phone: (773) 690-2147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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