Individual
CHRISTINE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-51036
Contact information
Practice address
429 CEDAR CT S, BUFFALO GROVE, IL 60089-6627
(224) 623-5378
Mailing address
429 CEDAR CT S, BUFFALO GROVE, IL 60089-6627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-51036
IL
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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