Jatuthep Rattanahattakul
Behavior Technician in Libertyville, IL. Individual provider (NPI-1).
NPI number1801693239
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1801693239
- Entity type
- Individual (NPI-1)
- Name
- Jatuthep Rattanahattakul
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
854 Technology Way Ste ELibertyville, IL 60048-5350
Phone 847-816-7200
Mailing address
854 Technology Way Ste ELibertyville, IL 60048-5350
Phone 847-816-7200
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All 69 Behavior Technician providers in Libertyville · All 1,805 providers in Libertyville
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