Marissa Rucker, RBT
Behavior Technician in La Grange Park, IL. Individual provider (NPI-1).
NPI number1407375710
StatusActive
Last updated in NPPESSep 18, 2017
Details
- NPI
- 1407375710
- Entity type
- Individual (NPI-1)
- Name
- Marissa Rucker
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2017
- Last updated
- Sep 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
306 N Kensington AveLa Grange Park, IL 60526-1870
Phone 312-965-2997
Mailing address
4875 N Paulina St Apt 2aChicago, IL 60640-4176
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Other Behavior Technician providers in La Grange Park, IL
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- Kelly GruseckiNPI 1093320780
- Cynthia GuzmanNPI 1275148538
- Alexandra HatfieldNPI 1811572894
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- Ashley HowardNPI 1326616012
- Ellyn Elizabeth JagerNPI 1548788821
All 23 Behavior Technician providers in La Grange Park · All 265 providers in La Grange Park
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