Individual
JAMIE LYNN ZIPPRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
107 W STATE ST, MASCOUTAH, IL 62258-1924
(618) 566-0316
Mailing address
973 N 6TH ST, MASCOUTAH, IL 62258-1154
(618) 566-0316
(618) 566-0313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-49632
IL
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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