Individual
BRIDGET BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT 17-36264
Contact information
Practice address
1322 PLEASANT ST APT A, DEKALB, IL 60115-3539
(847) 226-3313
Mailing address
1322 PLEASANT ST APT A, DEKALB, IL 60115-3539
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-36264
IL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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