Individual
KAITLYN TWARDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 N EOLA RD, AURORA, IL 60502-9612
(630) 999-0401
Mailing address
725 CHESTNUT CT, ALGONQUIN, IL 60102-2165
(847) 209-2388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-36950
IL
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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