Individual
CASEY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALNUT ST STE B, SAINT CHARLES, IL 60174-2766
(630) 286-0026
Mailing address
220 N JACKSON ST, BATAVIA, IL 60510-1851
(616) 953-2205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-114975
IL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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