JONATHAN ALEXIS LARA

CHICAGO, IL
NPI1982440103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
JONATHAN ALEXIS LARA
2248 S MICHIGAN AVE
CHICAGO, IL 60616-5258
Phone number: 312-672-1165
Mailing Address
JONATHAN ALEXIS LARA
2248 S MICHIGAN AVE
CHICAGO, IL 60616-5258
Phone number: 312-286-2444