Individual
CALEB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-63884
IL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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