Bharath Banothu

NPI #1356164867 in Oak Park, Illinois

Provider Information

NPI Number
1356164867
Entity Type
Individual
Name
Bharath Banothu
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
6930 ROOSEVELT RD
ZIP Code
60304-1845
Phone
(323) 572-0622

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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