Renosha Mullins

NPI #1467262741 in Dolton, Illinois

Provider Information

NPI Number: 1467262741
Entity Type: Individual
Name: Renosha Mullins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 9, 2025
Last Updated: Jan 9, 2025

Practice Location

Address: 14344 UNIVERSITY AVE
City: Dolton
State: Illinois
ZIP Code: 60419-1314
Phone: (773) 615-6872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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