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Johnnie Mae Jenkins

Behavior Technician in Waukegan, IL. Individual provider (NPI-1).

NPI number1699329318
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1699329318
Entity type
Individual (NPI-1)
Name
Johnnie Mae Jenkins
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2019
Last updated
Jul 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Phone 847-377-8296 · Fax 847-984-5689

Mailing address

24647 N Milwaukee Ave
Vernon Hills, IL 60061-1567

Phone 847-377-8296 · Fax 847-984-5689

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Other Behavior Technician providers in Waukegan, IL

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