Juguan, Mary

Juguan, Mary is an individual health care provider with primary practice located at 4112 Fieldstone Rd Suite B, Champaign IL 61822. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Juguan, Mary can be contacted via phone (888) 308-3728.

Contact Information

Primary practice address
4112 Fieldstone Rd Suite B Champaign IL 61822
Phone: (888) 308-3728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 20-146381

Profile Details

NPI number 1316525942
LBN Legal business name Juguan, Mary
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2021
Last updated Apr 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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