JOHNATHAN TRENT BLANKENSHIP

OAK PARK, IL
NPI1972370393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IL  RBT-23-308678)
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
JOHNATHAN TRENT BLANKENSHIP
1515 N HARLEM AVE
OAK PARK, IL 60302-1250
Phone number: 630-632-4350
Mailing Address
JOHNATHAN TRENT BLANKENSHIP
1515 N HARLEM AVE
OAK PARK, IL 60302-1250
Phone number:
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