Individual
HOLLI CLAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-17-34670
Contact information
Practice address
410 HAMPTON DR, LAKE VILLA, IL 60046-5067
(224) 999-5180
Mailing address
410 HAMPTON DR, LAKE VILLA, IL 60046-5067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-34670
IL
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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