MS. Jenine Rosa King

NPI #1316587009 in Tinley Park, Illinois

Provider Information

NPI Number: 1316587009
Entity Type: Individual
Name: MS. Jenine Rosa King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 9, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 8505 183RD ST STE D
City: Tinley Park
State: Illinois
ZIP Code: 60487-9353
Phone: (708) 864-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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