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Vanessa Bahena, RBT

Behavior Technician in Waukegan, IL. Individual provider (NPI-1).

NPI number1245720481
StatusActive
Last updated in NPPESMay 14, 2018

Details

NPI
1245720481
Entity type
Individual (NPI-1)
Name
Vanessa Bahena
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2018
Last updated
May 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician18-51098–Yes

Practice location

828 W Pacific Ave
Waukegan, IL 60085-1830

Phone 224-944-9175

Mailing address

828 W Pacific Ave
Waukegan, IL 60085-1830

Phone 224-944-9175

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