Kari Lee Moen-Dornink
Behavior Technician in Belleville, IL. Individual provider (NPI-1).
NPI number1619702172
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1619702172
- Entity type
- Individual (NPI-1)
- Name
- Kari Lee Moen-Dornink
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5801 Mount Pleasant LnBelleville, IL 62223-3944
Phone 618-489-5102
Mailing address
5801 Mount Pleasant LnBelleville, IL 62223-3944
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Other Behavior Technician providers in Belleville, IL
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All 13 Behavior Technician providers in Belleville · All 1,953 providers in Belleville
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