Individual
KATIE REGINA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(813) 395-1073
Mailing address
1507 MEADOW VIEW LN, GRAYSLAKE, IL 60030-4604
(224) 201-8538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445932
IL
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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