Jadelynn Matthews
Behavior Technician in Chicago, IL. Individual provider (NPI-1).
NPI number1093542425
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1093542425
- Entity type
- Individual (NPI-1)
- Name
- Jadelynn Matthews
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5628 S Prairie AveChicago, IL 60637-1234
Phone 773-595-8162
Mailing address
5628 S Prairie AveChicago, IL 60637-1234
Phone 773-595-8162
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