Individual
BRENDA SLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3815 E MAIN ST, ST CHARLES, IL 60174-2488
(630) 584-7530
Mailing address
3815 E MAIN ST, ST CHARLES, IL 60174-2488
(630) 584-7530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-187371
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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