Individual
ELIZABETH MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
150 HOUSTON ST, BATAVIA, IL 60510-1953
(815) 223-2237
Mailing address
150 HOUSTON ST, BATAVIA, IL 60510-1953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-65817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-65817
BACB
IL
Enumeration date
09/24/2018
Last updated
09/24/2018
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