Individual
DEANNA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-18-58645
Contact information
Practice address
50 HANSON DR, BOURBONNAIS, IL 60914-1141
(815) 662-7294
Mailing address
50 HANSON DR, BOURBONNAIS, IL 60914-1141
(815) 662-7294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-58645
IL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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