Individual
KATARINA KROKKEROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
2460 RIVA RIDGE RD, MONTGOMERY, IL 60538-3408
(630) 999-0401
Mailing address
2460 RIVA RIDGE RD, MONTGOMERY, IL 60538-3408
(630) 999-0401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60081
—
103K00000X
Behavior Analyst
Primary
12260081
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-60081
BACB
—
Enumeration date
04/17/2017
Last updated
09/20/2022
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