Most Relevant Information
Provider Data
| NPI Number: | 1003656976 |
| Provider Name: | LOVETH ANISE HEARD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-240350127 |
Most Important Dates
| Enumeration Date: | 05/29/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
332 S MICHIGAN AVE STE 900
CHICAGO
IL
606044393
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
7108 S KANNER HWY
STUART
FL
349977462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |