Christopher Hugo Chisom

NPI #1720741663 in Freeport, Illinois

Provider Information

NPI Number: 1720741663
Entity Type: Individual
Name: Christopher Hugo Chisom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 18, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 421 W EXCHANGE ST
City: Freeport
State: Illinois
ZIP Code: 61032-4008
Phone: (708) 515-0513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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