Individual
RITA KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5540 W 111TH ST STE 1, OAK LAWN, IL 60453-5575
(708) 634-0821
Mailing address
2970 N LAKE SHORE DR APT 11A, CHICAGO, IL 60657-5679
(630) 470-8618
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52975
IL
Other
Enumeration date
05/16/2018
Last updated
10/31/2023
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