CARLOS MIYASATO

PALATINE, IL
NPI1922598119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence:   16-25393)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
CARLOS MIYASATO RBT-16-25393
1227 E PRAIRIE BROOK DR APT C3
PALATINE, IL 60074-3175
Phone number: 224-436-4964
Mailing Address
CARLOS MIYASATO RBT-16-25393
1227 E PRAIRIE BROOK DR APT C3
PALATINE, IL 60074-3175
Phone number: