Grace Ogunnubi
Behavior Technician in Chicago, IL. Individual provider (NPI-1).
NPI number1467167635
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1467167635
- Entity type
- Individual (NPI-1)
- Name
- Grace Ogunnubi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2023
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IL | Yes |
Practice location
6758 N Sheridan Rd Apt 531Chicago, IL 60626-4434
Phone 773-571-0911
Mailing address
6758 N Sheridan Rd Apt 531Chicago, IL 60626-4434
Phone 773-571-0911
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