Godelive Pindila Bahombwa

NPI #1720854136 in Evanston, Illinois

Provider Information

NPI Number: 1720854136
Entity Type: Individual
Name: Godelive Pindila Bahombwa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 1413 DOBSON ST APT 1
City: Evanston
State: Illinois
ZIP Code: 60202-4810
Phone: (773) 710-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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