Individual
KALI RAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1749 S RANDALL RD STE A, GENEVA, IL 60134-4616
(630) 931-7589
Mailing address
940 KELLY LN, SYCAMORE, IL 60178-9509
(815) 761-6550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265528
IL
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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