Individual
BREANA KAITLYNN TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14421 S WALLIN DR STE 109, PLAINFIELD, IL 60544-2502
(815) 267-6354
Mailing address
14421 S WALLIN DR STE 109, PLAINFIELD, IL 60544-2502
(815) 267-6354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-188864
IL
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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