Individual
GRACE HOLLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1844 W CRESCENT AVE, PARK RIDGE, IL 60068-3878
(847) 636-2865
Mailing address
1844 W CRESCENT AVE, PARK RIDGE, IL 60068-3878
(847) 636-2865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16-22757
IL
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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