JACK HENRY JAKE LONDON

CHAMPAIGN, IL
NPI1619556982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   20142911)
Enumeration Date2021-04-05
Last Update Date2021-04-05
Business Address
JACK HENRY JAKE LONDON RBT
4112 FIELDSTONE RD SUITE B
CHAMPAIGN, IL 61822-6182
Phone number: 888-308-3728
Mailing Address
JACK HENRY JAKE LONDON RBT
245 W ROOSEVELT RD
WEST CHICAGO, IL 60185-3739
Phone number: 888-308-3728
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