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Individual

DANIELLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
8707 SKOKIE BLVD STE 402, SKOKIE, IL 60077-2269
(770) 880-8002
(773) 304-3737
Mailing address
1030 W NEWPORT AVE UNIT 3, CHICAGO, IL 60657-1504
(770) 880-8002
(773) 304-3737

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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