Individual
JACQUELINE ALEXANDRA THIELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
339 LANDAU LN, WHEELING, IL 60090-6622
(847) 243-7705
Mailing address
1121 MICHAEL ST, LOCKPORT, IL 60441-3321
(847) 852-1022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81978
IL
Other
Enumeration date
09/09/2021
Last updated
08/09/2023
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