KEVIN THENGUMOOTTIL MATHEW

CHICAGO, IL
NPI1407620636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  1-23-68973)
Enumeration Date2023-11-08
Last Update Date2023-11-14
Business Address
Mr. KEVIN THENGUMOOTTIL MATHEW BCBA
5059 W OAKDALE AVE
CHICAGO, IL 60641-5016
Phone number: 773-831-9950
Mailing Address
Mr. KEVIN THENGUMOOTTIL MATHEW BCBA
5059 W OAKDALE AVE
CHICAGO, IL 60641-5016
Phone number: