NPI 1053899385

Jorge Luis Roman

Practitioner Behavior Analyst Cicero, IL

Practice location

Address: 3100 S Central Ave, Cicero, IL 60804-3956
Phone: (708) 863-3803
Mailing address: 3220 Lombard Ave, Berwyn, IL 60402-3517

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1053899385
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2018
Record last updated: 30 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.