Jacqueline Chavez

NPI #1679062228 in Algonquin, Illinois

Provider Information

NPI Number: 1679062228
Entity Type: Individual
Name: Jacqueline Chavez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 1790 HAVERFORD DR
City: Algonquin
State: Illinois
ZIP Code: 60102-3293
Phone: (847) 656-6905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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