Individual
DENNISE KUCHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-19-83539
Contact information
Practice address
5 REVERE DR SUITE 120, NORTHBROOK, IL 60062
(847) 306-9843
Mailing address
5 REVERE DR SUITE 120, NORTHBROOK, IL 60062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-83539
IL
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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