Individual
ERIKA MACTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 REVERE DR STE AA, NORTHBROOK, IL 60062-1566
(844) 247-7222
(215) 489-8766
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-178690
IL
Other
Enumeration date
06/30/2022
Last updated
05/20/2024
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