Individual
KARA ANN CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3201 CITADEL DR, ROCKFORD, IL 61109-3805
(815) 985-8175
Mailing address
3201 CITADEL DR, ROCKFORD, IL 61109-3805
(815) 985-8175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-54148
IL
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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