Individual
TRISTA KOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
85 REVERE DR, NORTHBROOK, IL 60062-8001
(630) 209-1605
Mailing address
1477 FAIRWAY DR, 202, NAPERVILLE, IL 60563-9132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16162
IL
Other
Enumeration date
06/26/2014
Last updated
09/11/2015
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