Individual
BRYAN MICHAEL GRUENEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
725 HILL DR APT 206, HOFFMAN ESTATES, IL 60169-1421
(847) 436-1342
Mailing address
725 HILL DR APT 206, HOFFMAN ESTATES, IL 60169-1421
(847) 436-1342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-45174
IL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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