Individual
ARIEL B HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
19913 BROOK AVE, LYNWOOD, IL 60411-1411
(708) 638-0519
Mailing address
19913 BROOK AVE, LYNWOOD, IL 60411-1411
(708) 638-0519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-40298
IL
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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