Individual
COURTNEY CAPUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-67564
Contact information
Practice address
11914 S ROUTE 59 UNIT 124, PLAINFIELD, IL 60585
(815) 469-1500
Mailing address
11914 S ROUTE 59 UNIT 124, PLAINFIELD, IL 60585-5110
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-67564
IL
Other
Enumeration date
10/08/2018
Last updated
06/18/2019
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