Individual
CASSIDY MARIE KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1315 MACOM DR STE 103, NAPERVILLE, IL 60564-9360
(630) 585-7337
Mailing address
1315 MACOM DR STE 103, NAPERVILLE, IL 60564-9360
(630) 585-7337
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34032
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-34032
BACB
—
Enumeration date
01/29/2019
Last updated
05/12/2022
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