Individual
SAMANTHA RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
7228 CIRCLE AVE, FOREST PARK, IL 60130-1163
(708) 665-3642
Mailing address
7228 CIRCLE AVE, FOREST PARK, IL 60130-1163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50163
IL
Other
Enumeration date
06/13/2019
Last updated
06/26/2025
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