Individual
KELLEY ROWLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-50257
Contact information
Practice address
8039 KNOX AVE APT 1S, SKOKIE, IL 60076-3164
(847) 324-9304
Mailing address
8039 KNOX AVE APT 1S, SKOKIE, IL 60076-3164
(847) 324-9304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-50257
IL
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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