Individual
CAITILIN CASSIDY CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1585 N MILWAUKEE AVE STE 101, LIBERTYVILLE, IL 60048-1359
(847) 918-7947
Mailing address
1615 N MILWAUKEE AVE APT 10A, LIBERTYVILLE, IL 60048-3915
(224) 294-4052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-308795
IL
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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