MANUEL DEJESUS BURGOS

CHAMPAIGN, IL
NPI1831999655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  RBT-23-290992)
Enumeration Date2025-03-19
Last Update Date2025-03-19
Business Address
MANUEL DEJESUS BURGOS
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL 61822-8808
Phone number: 312-838-9555
Mailing Address
MANUEL DEJESUS BURGOS
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL 61822-8808
Phone number: 312-838-9555