Individual
KAYTLIN CEARNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11914 ILLINOIS RTE 59, SUITE 124, PLAINFIELD, IL 60585
(815) 729-2160
Mailing address
11914 ILLINOIS RTE 59 SUITE 124, PLAINFIELD, IL 60585
(815) 729-2160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-82018
IL
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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