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Rebecca Kern, RBT-19-105956

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

NPI number1982249652
StatusActive
Last updated in NPPESNov 17, 2019

Details

NPI
1982249652
Entity type
Individual (NPI-1)
Name
Rebecca Kern
Credential
RBT-19-105956
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2019
Last updated
Nov 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician19-105956ILYes

Practice location

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

Phone 847-306-9843

Mailing address

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

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