Individual
KASEY MORGAN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
747 W HILLCREST RD, PALATINE, IL 60074-1088
(912) 996-2391
Mailing address
747 W HILLCREST RD, PALATINE, IL 60074-1088
(912) 996-2391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-53497
IL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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