Individual
DANIEL PEGARSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
163 ELLSWORTH ST, CRYSTAL LAKE, IL 60014-4454
(224) 239-6010
Mailing address
163 ELLSWORTH ST, CRYSTAL LAKE, IL 60014-4454
(224) 239-6010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-55676
IL
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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