NPI 1295020543 · live from the CMS NPI Registry
Jan Patrick Annarella, M Ed
Behavior Analyst in Chicago, IL. National Provider Identifier 1295020543, active.
NPI record
| NPI | 1295020543 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4956 N Oakley Ave, Chicago, IL 60625 |
| Practice phone | 773-561-5436 |
| Enumerated | June 15, 2011 |
| Last updated | June 15, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.